Individual provider Active NPI

Lourdes R Borges Ruiz, MD

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1104885391
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
41445 Issued in MN
Practice address
1700 Livingston Ave Ste 222
Saint Paul, MN 55118-5938
Phone
(612) 850-0923
Fax
(728) 203-9709
NPI assigned
Mar 17, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41445 MN Primary

Addresses

Primary practice location

1700 Livingston Ave Ste 222
Saint Paul, MN 55118-5938

Mailing address

8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (952) 853-8800

Other practice location 1

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-3400

Other practice location 2

2220 Riverside Ave
HealthPartners Riverside Urgent Care Clinic
Minneapolis, MN 55454
Phone (952) 853-8800

Other identifiers 8

IdentifierTypeStateIssuer
72Q29BOOtherMNBCBS
886433100MedicaidMN
HP30919OtherMNHEALTH PARTNERS
P00401953OtherMNMEDICARE RAILROAD
NA9021025215OtherMNPREFERRED ONE
0105295OtherMNMEDICA
886433100OtherMNMN HEALTH PLAN
160432OtherMNUCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, IA, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041122001189 MN Practitioner - Family Practice 6901861632 Reassigns benefits to 7 organizations
I20250407000142 IA Practitioner - Family Practice 6901861632 Reassigns benefits to 1 organization
I20250827001261 WI Practitioner - Family Practice 6901861632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altru Health SystemGroup PAC ID 1355251604, shared by 14 NPIs, 675 clinicians
Lifecare Medical CenterGroup PAC ID 4789586884, shared by 9 NPIs, 55 clinicians

Practice addresses (Care Compare)

711 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-1365

715 Delmore Dr
Roseau, MN 56751-1534
Phone (218) 463-2500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41445MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Apr 14, 2025 Accepting new patients
Westfields Hospital, Inc. Family Medicine CurrentSince Jul 16, 2025 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Nov 1, 2000 Accepting new patients
Lifecare Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Group Health, Inc. CurrentSince Nov 20, 2000 Accepting new patients
West Side Community Health Services, Inc CurrentSince Nov 1, 2003 Accepting new patients
St Mary's Regional Health Center CurrentSince Jul 15, 2022 Accepting new patients
Lifecare Medical Center CurrentSince Jan 1, 2026 Accepting new patients
St Mary's Regional Health Center Family Medicine CurrentSince Jul 15, 2022 Accepting new patients
Westfields Hospital, Inc CurrentSince Jul 16, 2025 Accepting new patients
Fairview Clinics CurrentSince Nov 1, 2000 Accepting new patients
West Side Community Health Services, Inc. Current Accepting new patients
West Side Community Health Services, Inc. CurrentSince Nov 1, 2003 Accepting new patients
St. Joseph's Area Health Services Current Accepting new patients
St. Marys Regional Health Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Group Health, Inc. Current Accepting new patients
University of Minnesota Physicians Past Accepting new patients

Locations

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

420 Delaware St SE
#126
Minneapolis, MN 55455
Phone (612) 626-2378

705 Pleasant Ave S
Park Rapids, MN 56470
Phone (218) 732-2800

715 Delmore Dr
Roseau, MN 56751
Phone (218) 463-2500

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

153 Cesar Chavez St
West Saint Paul, MN 55107
Phone (651) 222-1816

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

Interoperability endpoints

  • Direct secure messaging: lruiz1101198@direct.unitypoint.org

Organizations & group practices 19

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.

View all 19

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1104885391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-853-8800",
            "fax_number": "612-371-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LIVINGSTON AVE STE 222",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551185938",
            "telephone_number": "612-850-0923",
            "fax_number": "728-203-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2220 Riverside Ave",
            "address_2": "HealthPartners Riverside Urgent Care Clinic",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55454",
            "country_code": "US",
            "telephone_number": "952-853-8800",
            "fax_number": "612-371-1732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORGES RUIZ",
        "first_name": "LOURDES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "41445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "72Q29BO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886433100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP30919",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00401953",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "NA9021025215",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0105295",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH PLAN",
            "identifier": "886433100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "160432",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.