Individual provider Active NPI

Robert S Ruano

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1386749364
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7538 Issued in FL
Practice address
919 NW 57TH St Ste 10
Gainesville, FL 32605-6437
Phone
(352) 505-3993
Fax
(352) 364-4163
NPI assigned
Sep 14, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH7538 FL Primary

Addresses

Primary practice location

919 NW 57TH St Ste 10
Gainesville, FL 32605-6437

Mailing address

919 NW 57TH St Ste 10
Gainesville, FL 32605-6437
Phone (352) 505-3993

Other identifiers 1

IdentifierTypeStateIssuer
55763MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110413000773 FL Practitioner - Chiropractic 3678678919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5024 NW 27TH CT
Gainesville, FL 32606-6545
Phone (352) 505-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH7538FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Back Solutions,LLC Chiropractor CurrentSince Feb 21, 2011 Accepting new patients
Hudson Healthcare Services, LLC Chiropractor Past Accepting new patients
High Springs Physical Medicine Past Accepting new patients
Restieri Healthcare Services, LLC Chiropractor Past Accepting new patients

Locations

5024 NW 27th Ct
Gainesville, FL 32606
Phone (352) 332-6555

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1619049600000",
    "number": "1386749364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 NW 57TH ST STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056437",
            "telephone_number": "352-505-3993",
            "fax_number": "352-364-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 NW 57TH ST STE 10",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056437",
            "telephone_number": "352-505-3993",
            "fax_number": "352-364-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUANO",
        "first_name": "ROBERT",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7538",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55763",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.