Active NPI
Ruddy E Ruiz, MD
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME68400
- Practice address
- 1900 Dairy Rd
Melbourne, FL 32904-4046 - Phone
- (321) 952-0494
- Fax
- (321) 952-0479
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME68400 | FL | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | ME68400 | FL | Primary |
Addresses
Primary practice location
1900 Dairy Rd
Melbourne, FL 32904-4046
Mailing address
1900 Dairy Rd
Melbourne, FL 32904-4046
Phone (321) 952-0494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379019300 | Medicaid | FL | |
| 110112878 | Other | FL | RR MEDICARE |
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
- Hospice/Palliative Care
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68400 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Health First Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Stuart McCranels DC Inc | Past | Accepting new patients |
Locations
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677
3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771
1131 W New Haven Ave
Ste 102
West Melbourne, FL 32904
Phone (321) 434-1744
Organizations & group practices 3
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.
-
- General Practice Physician
- Melbourne, FL
- NPI 1750626495
Internal Medicine
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Chiropractor
- Melbourne, FL
- NPI 1770341513
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palm Bay Hospital
- General Acute Care Hospital
- Palm Bay, FL
- NPI 1386940823
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- Community Based Hospice Care Agency
- West Melbourne, FL
- NPI 1518927797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365033600000",
"number": "1093799041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 DAIRY RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329044046",
"telephone_number": "321-952-0494",
"fax_number": "321-952-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DAIRY RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329044046",
"telephone_number": "321-952-0494",
"fax_number": "321-952-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RUDDY",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2013-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME68400",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "FL",
"license": "ME68400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379019300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110112878",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.