Individual provider Active NPI

Jose L Ruiz, M.D.

  • Otolaryngology Physician
  • Sebring, FL
National Provider Identifier
1134319783
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME58319 Issued in FL
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

Updated by the provider on Dec 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201309361OtherCOMMERCIAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000095 FL Practitioner - Otolaryngology 5597702100 Reassigns benefits to 1 organization

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
Adventist Health System-Sunbelt IncGroup PAC ID 0749232445, 100 clinicians

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 Hospital, Sebring, FL, CCN 100109
  • HCA Florida Highlands Hospital Hospital, Sebring, FL, CCN 100049
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System-Sunbelt Inc CurrentSince Nov 11, 2018 Accepting new patients
Adventist Health System-Sunbelt Inc CurrentSince Nov 11, 2018 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.