Active NPI
Raul E Ruiz, MD
- General Practice Physician
- Guttenberg, IA
National Provider Identifier
1265640510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19487
- Practice address
- 927 Acre Street
Guttenberg, IA 52052 - Phone
- (563) 252-3640
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 19487 | IA | Primary |
Addresses
Primary practice location
927 Acre Street
Guttenberg, IA 52052
Mailing address
PO Box 969
927 Acre Street
Guttenberg, IA 52052
Phone (563) 252-3640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149146 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine Associates PC | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Guttenberg, IA
- NPI 1093873804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265640510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 969",
"address_2": "927 ACRE STREET",
"city": "GUTTENBERG",
"state": "IA",
"postal_code": "52052",
"telephone_number": "563-252-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 ACRE STREET",
"city": "GUTTENBERG",
"state": "IA",
"postal_code": "52052",
"telephone_number": "563-252-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RAUL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IA",
"license": "19487",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0149146",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Guttenberg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.