Active NPI
Jose L Ruiz, M.D.
- Otolaryngology Physician
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME58319
- Practice address
- 4301 Sun N Lake Blvd Ste 102
Sebring, FL 33872-2138 - Phone
- (863) 402-3161
- Fax
- (863) 402-8244
- NPI assigned
- Jul 30, 2007
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME58319 | FL | Primary |
Addresses
Primary practice location
4301 Sun N Lake Blvd Ste 102
Sebring, FL 33872-2138
Mailing address
1172 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 518-1810
Other practice location 1
1172 Cypress Glen Cir
Kissimmee, FL 34741-7560
Phone (407) 518-1810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201309361 | Other | COMMERCIAL |
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
- Otolaryngology
- Education
- University of Puerto Rico School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1210 US Hwy 27 N
Lake Placid, FL 33852-7948
Phone (863) 465-3777
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 314-4466
Hospital & facility affiliations
- Adventhealth Sebring
- HCA Florida Highlands Hospital
- Adventhealth Lake Wales
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients | |
| Adventist Health System-Sunbelt Inc | Current | Accepting new patients |
Locations
1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777
4420 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 385-1244
4301 Sun N Lake Blvd
Ste 102
Sebring, FL 33872
Phone (863) 402-3161
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jruiz621263@adventhealth.direct-ci.com
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.
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake Wales, FL
- NPI 1053972760
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1598282246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575590400000",
"number": "1134319783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1172 CYPRESS GLEN CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347417560",
"telephone_number": "407-518-1810",
"fax_number": "407-201-8834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 SUN N LAKE BLVD STE 102",
"city": "SEBRING",
"state": "FL",
"postal_code": "338722138",
"telephone_number": "863-402-3161",
"fax_number": "863-402-8244"
}
],
"practiceLocations": [
{
"address_1": "1172 Cypress Glen Cir",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347417560",
"country_code": "US",
"telephone_number": "407-518-1810",
"fax_number": "407-201-8834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2019-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME58319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "201309361",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.