Individual provider Active NPI

Richard A Ruiz, M.D.

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1174518005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
429599 Issued in KS
Practice address
12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324
Phone
(913) 491-1616
Fax
(913) 491-8061
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 429599 KS Primary

Addresses

Primary practice location

12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324

Mailing address

12330 Metcalf Ave
Ste. 500
Overland Park, KS 66213-1324
Phone (913) 491-1616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20100811000233 KS Practitioner - Family Practice 3274667357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Group of Overland Park, LLCGroup PAC ID 0244425841, 8 clinicians

Practice addresses (Care Compare)

13801 Metcalf Ave
Suite 100
Overland Park, KS 66223-3092
Phone (913) 491-1616

5721 W 119TH St
Overland Park, KS 66209-3722
Phone (913) 498-6000

Hospital & facility affiliations

  • Menorah Medical Center Hospital, Overland Park, KS, CCN 170182
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040
  • Saint Luke'S South Hospital Hospital, Overland Park, KS, CCN 170185
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
429599KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Medical Group of Overland Park, LLC Family Medicine CurrentSince Nov 8, 2012 Accepting new patients
Saint Luke'S South Hospital Inc. Past Accepting new patients
Statland Medical Group LLC Past Accepting new patients

Locations

12330 Metcalf Ave
Ste 500
Overland Park, KS 66213
Phone (913) 317-3170

7381 W 133rd St
Ste 100
Overland Park, KS 66213
Phone (913) 491-1616

13801 Metcalf Ave
Ste 100
Overland Park, KS 66223
Phone (913) 491-1616

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

Interoperability endpoints

  • Direct secure messaging: richard.ruiz@hca2.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174518005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-491-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12330 METCALF AVE",
            "address_2": "STE. 500",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662131324",
            "telephone_number": "913-491-1616",
            "fax_number": "913-491-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "429599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.