Individual provider Active NPI

Jennifer Blair Pollard Ruiz, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1417915802
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P5450 Issued in TX
Practice address
6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832
Phone
(512) 829-0565
Fax
(512) 309-7031
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P5450 TX Primary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X P5450 TX

Addresses

Primary practice location

6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832

Mailing address

6300 Bee Caves Rd Ste 450
Austin, TX 78746-5832
Phone (512) 829-0565

Other names 1

  • Jennifer Blair Pollard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 14, 2017 through Jun 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P5450TXMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jennifer.pollard@160177656168452.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1417915802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 BEE CAVES RD STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465832",
            "telephone_number": "512-829-0565",
            "fax_number": "512-309-7031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 BEE CAVES RD STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465832",
            "telephone_number": "512-829-0565",
            "fax_number": "512-309-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLARD RUIZ",
        "first_name": "JENNIFER",
        "middle_name": "BLAIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P5450",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "P5450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "POLLARD",
            "middle_name": "BLAIR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.