Individual provider Active NPI

Justin Ruoss, M.D.

  • Diagnostic Radiology Physician
  • Gainesville, FL
National Provider Identifier
1508186131
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME1298710 Issued in FL
Practice address
6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone
(352) 331-9729
Fax
(352) 331-0136
NPI assigned
Jun 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X ME1298710 FL Primary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X ME129710 FL

Addresses

Primary practice location

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201

Mailing address

6716 NW 11TH PL Ste 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Other identifiers 4

IdentifierTypeStateIssuer
MQ299OtherMEDICARE
V0LMDOtherFLBCBS
1068093-00MedicaidFL
MQ300OtherMEDICARE

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
I20200626001546 FL Practitioner - Diagnostic Radiology 3072807783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Outpatient Imaging Center LTDGroup PAC ID 5991786410, 25 clinicians
Doctors Radiology Group of Gainesville LLCGroup PAC ID 4789692328, 33 clinicians

Practice addresses (Care Compare)

6605 NW 9TH Blvd
Gainesville, FL 32605-4206
Phone (352) 333-4703

6716 NW 11TH PL
Suite 200
Gainesville, FL 32605-4201
Phone (352) 331-9729

Hospital & facility affiliations

  • HCA Florida North Florida Hospital Hospital, Gainesville, FL, CCN 100204
  • HCA Florida Lake City Hospital Hospital, Lake City, FL, CCN 100156
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME129710FLMDDiagnostic Radiology Physician
ME1298710FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Imaging Group LLC Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
Doctors Radiology Group of Gainesville LLC Multi-Specialty CurrentSince Aug 1, 2020 Accepting new patients
North Florida Outpatient Imaging Center LTD Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients

Locations

6605 NW 9th Blvd
Gainesville, FL 32605
Phone (352) 333-4676

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

6716 NW 11th Pl
Ste 200
Gainesville, FL 32605

3140 NW Medical Center Ln
Ste 100
Lake City, FL 32055
Phone (386) 752-4004

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

6121 Saint Johns Ave
Palatka, FL 32177
Phone (386) 326-0077

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1508186131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "843-792-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6716 NW 11TH PL STE 200",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054201",
            "telephone_number": "352-331-9729",
            "fax_number": "352-331-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOSS",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-05",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME1298710",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME129710",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MQ299",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "V0LMD",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1068093-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MQ300",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.