Individual provider Active NPI

Manuel Ruiz Jr., MD

  • Surgery Physician
  • Victoria, TX
National Provider Identifier
1255652152
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R0650 Issued in TX
Practice address
601 E San Antonio St
Ste 501W
Victoria, TX 77901-6004
Phone
(361) 575-6396
NPI assigned
Jun 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 TX
Surgery Physician 208600000X R0650 TX Primary

Addresses

Primary practice location

601 E San Antonio St
Ste 501W
Victoria, TX 77901-6004

Mailing address

601 E San Antonio St
Ste 501W
Victoria, TX 77901-6004
Phone (361) 575-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241017001898 LA Practitioner - General Surgery 9234373457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

1111 Homer Rd
Minden, LA 71055-3027
Phone (318) 377-7500

170 Healthcare Plaza Dr
Haughton, LA 71037-1700
Phone (318) 706-0022

2 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-4051

3 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-5615

Hospital & facility affiliations

  • Minden Medical Center Hospital, Minden, LA, CCN 190144
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0650TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC Current Accepting new patients
Union Hospital Inc. Current Accepting new patients
Minden Physician Practices LLC CurrentSince Aug 1, 2024 Accepting new patients
Minden Physician Practices LLC CurrentSince Aug 1, 2024 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1429 N 6th St
Ofc
Terre Haute, IN 47807

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1429 N 6th St
Terre Haute, IN 47807
Phone (812) 242-3115

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

812 Broadway St
Minden, LA 71055
Phone (318) 377-0010

Interoperability endpoints

  • Direct secure messaging: mruiz@unionhealth.cernerdirect.com
  • Direct secure messaging: manuel.ruiz.1@3681.direct.athenahealth.com
  • Direct secure messaging: minmruiz@yourcarecommunity.org
  • Direct secure messaging: manuel.ruiz.2@3681.direct.athenahealth.com

Organizations & group practices 5

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1255652152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE 501W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE 501W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R0650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.