NPIMap

Individual provider Active NPI

Jose M Ruiz, M.D.

  • Obstetrics & Gynecology Physician
  • San Antonio, TX
National Provider Identifier
1093705089
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K4993 Issued in TX
Practice address
4458 Medical Dr Ste 705
San Antonio, TX 78229-3748
Phone
(210) 614-1000
Fax
(210) 615-1236
NPI assigned
Oct 21, 2005
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K4993 TX Primary

Addresses

Primary practice location

4458 Medical Dr Ste 705
San Antonio, TX 78229-3748

Mailing address

1355 Central S Pkwy 400
San Antonio, TX 78232-5055
Phone (210) 349-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090722000680 TX Practitioner - Obstetrics/Gynecology 9234157660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier OB-GYN of Texas LLCGroup PAC ID 4284077900, 3 clinicians

Practice addresses (Care Compare)

4458 Medical Dr
Suite 405
San Antonio, TX 78229-3748
Phone (210) 440-4149

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.86 of 100Reported as group
Quality
85.25
Promoting interoperability
100
Improvement activities
40
Cost
74.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose M. Ruiz MD, PLLC Obstetrics & Gynecology CurrentSince Jun 24, 2024 Accepting new patients
Premier OB-GYN of Texas LLC Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
Randall Burt MD PA Current Accepting new patients
Steven R. Macdonald, M.D., P.a. Current Accepting new patients
Unified Women's Healthcare of Texas PLLC Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Northeast OB/GYN Associates, PLLC Obstetrics & Gynecology PastSince Aug 1, 2009 Accepting new patients

Locations

6124 W Parker Rd
Ste 134
Plano, TX 75093
Phone (972) 981-7777

3903 Wiseman Blvd
Ste 200
San Antonio, TX 78251
Phone (210) 684-4100

4458 Medical Dr
Ste 405
San Antonio, TX 78229
Phone (210) 314-1718

4458 Medical Dr
Ste 650
San Antonio, TX 78229

4458 Medical Dr
Ste 705
San Antonio, TX 78229
Phone (210) 614-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJAEDD/Endpoint/BJAEDD

Organizations & group practices 7

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 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1093705089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 CENTRAL S PKWY 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325055",
            "telephone_number": "210-349-9300",
            "fax_number": "210-366-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 MEDICAL DR STE 705",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293748",
            "telephone_number": "210-614-1000",
            "fax_number": "210-615-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JOSE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K4993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.