Individual provider Active NPI

Camilo A Ruiz

  • Sleep Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1063664696
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
OS10517 Issued in FL
Practice address
1319 SE 2ND Ave
Fort Lauderdale, FL 33316-1809
Phone
(954) 839-6987
Fax
(954) 839-6923
NPI assigned
Oct 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X OS10517 FL Primary

Addresses

Primary practice location

1319 SE 2ND Ave
Fort Lauderdale, FL 33316-1809

Mailing address

1319 SE 2ND Ave
Fort Lauderdale, FL 33316-1809
Phone (954) 839-6987

Other identifiers 2

IdentifierTypeStateIssuer
DB058WOtherFLPTAN
002898600MedicaidFL

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
I20100521000733 FL Practitioner - Internal MedicinePractitioner - Sleep Medicine 4284763731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 SE 2ND Ave
Fort Lauderdale, FL 33316-1809
Phone (954) 839-6987

Hospital & facility affiliations

  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Camilo Ruiz DO PA Sleep Medicine CurrentSince Sep 1, 2010 Accepting new patients
East Florida Hospitalists LLC Past Accepting new patients

Locations

1409 SE 1st Ave
Fort Lauderdale, FL 33316
Phone (954) 523-4141

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

1319 SE 2nd Ave
Ft Lauderdale, FL 33316
Phone (954) 452-7576

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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

Hospital & facility affiliations 1

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1063664696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-839-6987",
            "fax_number": "954-839-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 SE 2ND AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161809",
            "telephone_number": "954-839-6987",
            "fax_number": "954-839-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CAMILO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "OS10517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "DB058W",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002898600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.