Individual provider Active NPI

Kimberly Ann Ruzek, MD

  • Diagnostic Radiology Physician
  • Venice, FL
National Provider Identifier
1043293095
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
90361 Issued in FL
Practice address
516 Nokomis Ave S
Venice, FL 34285-2817
Phone
(941) 488-7781
NPI assigned
Nov 23, 2005
Last updated
Mar 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 90361 FL Primary
Diagnostic Radiology Physician 2085R0202X 43033 MN

Addresses

Primary practice location

516 Nokomis Ave S
Venice, FL 34285-2817

Mailing address

P.O. Box 1508
Venice, FL 34284-1508
Phone (941) 488-7781

Other identifiers 1

IdentifierTypeStateIssuer
989628700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712000026 FL Practitioner - Diagnostic Radiology 7517945082 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of Venice and Englewood PAGroup PAC ID 8729039292, 9 clinicians

Practice addresses (Care Compare)

512 - 516 S Nokomis
Venice, FL 34285-3022
Phone (941) 486-3483

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
90361FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Radiology Associates of Venice and Englewood PA Diagnostic Radiology CurrentSince Jan 29, 2016 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
SMH Radiology Associates PA Diagnostic Radiology Past Accepting new patients
Radiology Associates of Tampa PA Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients
Prestige Imaging LLC Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients
Tower Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

900 Pine St
Englewood, FL 34223
Phone (941) 475-5471

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

2459 Mahan Dr
Tallahassee, FL 32308

512 Nokomis Ave S
Venice, FL 34285
Phone (941) 486-3483

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1043293095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1508",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342841508",
            "telephone_number": "941-488-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 NOKOMIS AVE S",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852817",
            "telephone_number": "941-488-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZEK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "90361",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "43033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "989628700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.