Active NPI
Irving D Ruiz, PA-C
- Student in an Organized Health Care Education/Training Program
- Winchester, VA
National Provider Identifier
1245040609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1775 N Sector CT Ste 200
Winchester, VA 22601-2859 - Phone
- (540) 542-6208
- NPI assigned
- Jan 8, 2025
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1775 N Sector CT Ste 200
Winchester, VA 22601-2859
Mailing address
6354 Walker LN Ste 400
Alexandria, VA 22310-3252
Phone (844) 466-8244
Other practice location 1
6354 Walker Ln Ste 400
Alexandria, VA 22310-3252
Phone (844) 466-8244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8095 Innovation Park Dr
Fairfax, VA 22031-4868
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1245040609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6354 WALKER LN STE 400",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223103252",
"telephone_number": "844-466-8244",
"fax_number": "571-665-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 N SECTOR CT STE 200",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012859",
"telephone_number": "540-542-6208"
}
],
"practiceLocations": [
{
"address_1": "6354 Walker Ln Ste 400",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223103252",
"country_code": "US",
"telephone_number": "844-466-8244",
"fax_number": "571-665-6484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "IRVING",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-08",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.