NPIMap

Individual provider Active NPI

Jaime L Morel Ruiz, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Gainesville, GA
National Provider Identifier
1053623371
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
72053 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501-3715
Phone
(770) 219-7828
NPI assigned
Jul 2, 2010
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME128532 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 72053 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501-3715

Mailing address

PO Box 3293
Indianapolis, IN 46206-3293
Phone (317) 614-9863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160714001753 FL Practitioner - Pathology 7810289675 Reassigns benefits to 1 organization
I20200422003360 GA Practitioner - Pathology 7810289675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Emory University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Regional Pathology Associates, PCGroup PAC ID 6608860929, 8 clinicians

Practice addresses (Care Compare)

743 Spring St NE
Gainesville, GA 30501-3741
Phone (770) 219-1553

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.38 of 100Reported as group
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128532FLMDAnatomic Pathology & Clinical Pathology Physician
72053GAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Gainesville Regional Pathology Associates, PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2020 Accepting new patients

Locations

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

655 W 8th St
Fl 1
Jacksonville, FL 32209
Phone (904) 244-3817

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1053623371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3293",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063293",
            "telephone_number": "317-614-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013715",
            "telephone_number": "770-219-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREL RUIZ",
        "first_name": "JAIME",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME128532",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "72053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.