Active NPI
Camilo A Ruiz
- Sleep Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- OS10517
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB058W | Other | FL | PTAN |
| 002898600 | Medicaid | FL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camilo Ruiz DO PA | Sleep Medicine | Current | 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.
-
- Sleep Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
- NPI 1205155538
-
- Hospitalist Physician
- Margate, FL
- NPI 1457516114
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.