NPIMap

Individual provider Active NPI

Jose Enrique San Miguel-Ruiz, M.D.

  • Orthopaedic Surgery Physician
  • Durham, NC
National Provider Identifier
1144675505
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2021-02458 Issued in NC
Practice address
200 Trent Dr
Durham, NC 27710-1450
Phone
(919) 613-7797
NPI assigned
May 4, 2016
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 2021-02458 NC Primary

Addresses

Primary practice location

200 Trent Dr
Durham, NC 27710-1450

Mailing address

2450 Riverside Ave
R200
Minneapolis, MN 55454-1450
Phone (612) 273-8043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220201002037 NC Practitioner - Orthopedic Surgery 2264727981 Reassigns benefits to 1 organization
I20220822000105 VT Practitioner - Orthopedic Surgery 2264727981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

401 Mulberry St SW
Suite 102
Lenoir, NC 28645-5463
Phone (828) 757-6434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion19
Laminectomy or laminotomy (partial removal of spine bones)21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gifford Medical Center Inc CurrentSince Aug 1, 2022 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jul 12, 2023 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc Orthopaedic Surgery CurrentSince Jul 12, 2023 Accepting new patients
Gifford Medical Center Inc. CurrentSince Aug 1, 2022 Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

44 S Main St
Randolph, VT 05060
Phone (802) 728-4441

Interoperability endpoints

  • Direct secure messaging: jsanmiguelruiz1021300@direct.unc.nchie.net

Organizations & group practices 6

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1144675505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "R200",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-8043",
            "fax_number": "612-273-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 TRENT DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277101450",
            "telephone_number": "919-613-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAN MIGUEL-RUIZ",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-02458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.