Individual provider Active NPI

Cindy Cedillo-Ruiz, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1508156209
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7619 Issued in TX
Practice address
4216 Ella Blvd Ste a
Houston, TX 77018-4237
Phone
(713) 574-9821
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7619 TX Primary

Addresses

Primary practice location

4216 Ella Blvd Ste a
Houston, TX 77018-4237

Mailing address

4216 Ella Blvd Ste a
Houston, TX 77018-4237
Phone (713) 574-9821

Other practice location 1

1013 S Wells St
Edna, TX 77957-4045
Phone (361) 782-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141205001350 TX Practitioner - Family Practice 8527380328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Grumman Rd W
Suite 1400
Bethpage, NY 11714-5029

1908 N Laurent St
Suite 410
Victoria, TX 77901-5469

2 Greenway PLZ
Suite 900
Houston, TX 77046-0200

7106 Centre Grove CT
Houston, TX 77069-2300

Two Greenway Plaza
Suite 900
Houston, TX 77046-0205

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Hospital District CurrentSince Jan 10, 2017 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Oct 21, 2014 Accepting new patients
Prickly Pear Primary Care Family Medicine CurrentSince Jan 5, 2025 Accepting new patients
Baylor College of Medicine CurrentSince Oct 21, 2014 Accepting new patients
Jackson County Hospital District CurrentSince Jan 10, 2017 Accepting new patients

Locations

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

4216 Ella Blvd
Ste A
Houston, TX 77018
Phone (713) 574-9821

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1508156209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 ELLA BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184237",
            "telephone_number": "713-574-9821",
            "fax_number": "281-595-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 ELLA BLVD STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770184237",
            "telephone_number": "713-574-9821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 S Wells St",
            "address_purpose": "LOCATION",
            "city": "Edna",
            "state": "TX",
            "postal_code": "779574045",
            "country_code": "US",
            "telephone_number": "361-782-7820",
            "fax_number": "361-782-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDILLO-RUIZ",
        "first_name": "CINDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.