Active NPI
Rafael Ruiz, MD
- Psychiatry Physician
- Dallas, TX
National Provider Identifier
1477578219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- N9406
- Practice address
- 7808 Clodus Fields Dr
Dallas, TX 75251-2206 - Phone
- (972) 770-1032
- NPI assigned
- Jul 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME86222 | FL | |
| Psychiatry Physician | 2084P0800X | N9406 | TX | Primary |
Addresses
Primary practice location
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Mailing address
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (972) 770-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000731500 | Medicaid | FL |
Other names 1
- Dr. Rafael Ruiz-Colon
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
107 Woodbine PL
Longview, TX 75601-2912
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME86222 | FL | MD | Psychiatry Physician |
| N9406 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Region MH Mr Community Center | Psychiatry | Current | Accepting new patients |
| Sabine Valley Regional MHMR Center | Psychiatry | Current | Accepting new patients |
| Sabine Valley Regional MHMR Center | Current | Accepting new patients |
Locations
1500 Pappas St
Laredo, TX 78041
Phone (956) 794-3000
950 N 4th St
Longview, TX 75601
Phone (903) 757-1106
1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928
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.
-
- Psychiatry Physician
- Laredo, TX
- NPI 1124060173
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longview, TX
- NPI 1639232002
Psychiatry
-
- Family Medicine Physician
- Longview, TX
- NPI 1841835022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354838400000",
"number": "1477578219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-770-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-770-1032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2012-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME86222",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "N9406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000731500",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAFAEL",
"last_name": "RUIZ-COLON",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.