Individual provider Active NPI

Jose David Ruiz, M.D

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1285739060
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME85967 Issued in FL
Practice address
10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434
Phone
(833) 769-3524
Fax
(407) 412-9170
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME85967 FL Primary

Addresses

Primary practice location

10967 Lake Underhill Rd Ste 113
Orlando, FL 32825-4434

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630

Other practice location 1

5979 Vineland Rd
sutie 109
Orlando, FL 32819-7800
Phone (407) 647-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200612001511 FL Practitioner - Psychiatry 7315369774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

10967 Lake Underhill Rd
Suite 113
Orlando, FL 32825-4434
Phone (407) 537-9451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME85967FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC Psychiatry CurrentSince Mar 1, 2023 Accepting new patients
Orlando Behahavioral Healthcare Past Accepting new patients
Orlando Behavioral Healthcare PastSince Mar 1, 2023 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

615 Oakfield Dr
Brandon, FL 33511
Phone (813) 565-3322

8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646

930 Alicia Rd
Lakeland, FL 33801
Phone (863) 680-1950

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441

10967 Lake Underhill Rd
Ste 113
Orlando, FL 32825
Phone (407) 537-9451

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: fbh.joseruiz@141363.advancedmd-direct.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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1285739060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10967 LAKE UNDERHILL RD STE 113",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328254434",
            "telephone_number": "833-769-3524",
            "fax_number": "407-412-9170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5979 Vineland Rd",
            "address_2": "sutie 109",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328197800",
            "country_code": "US",
            "telephone_number": "407-647-1781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JOSE",
        "middle_name": "DAVID",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME85967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.