Individual provider Active NPI

Roberto Javier Ruiz, M.D.

  • General Practice Physician
  • San Antonio, TX
National Provider Identifier
1699753426
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
F4457 Issued in TX
Practice address
1131 SE Military Dr
Ste. 117
San Antonio, TX 78214-2801
Phone
(210) 924-8146
Fax
(210) 675-9508
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F4457 TX Primary

Addresses

Primary practice location

1131 SE Military Dr
Ste. 117
San Antonio, TX 78214-2801

Mailing address

1131 SE Military Dr
Ste. 117
San Antonio, TX 78214-2801
Phone (210) 924-8146

Other identifiers 2

IdentifierTypeStateIssuer
262900YLPSOtherTXWELLMED MEDICARE
1225328-07OtherTXWELLMED MEDICAID

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
I20050513000270 TX Practitioner - Family PracticePractitioner - General Practice 0143261750 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

1111 SE Military Dr
San Antonio, TX 78214-2801
Phone (210) 927-5580

23611W Interstate 10
San Antonio, TX 78257-1694
Phone (210) 698-6617

2530 SW Military Dr
San Antonio, TX 78224-1020
Phone (210) 476-5599

517 SW Military Dr
Suite 106
San Antonio, TX 78221-1639
Phone (210) 921-0322

6157 NW Loop 410
124 Wellmed at Ingram Park
San Antonio, TX 78238-3302
Phone (210) 523-1411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F4457TXMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Provider Group PLLC Current Accepting new patients
Wellmed Medical Group, PA Current Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Oct 28, 2012 Accepting new patients
TMC Provider Group PLLC CurrentSince Dec 26, 2018 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Oct 28, 2012 Accepting new patients
Holy Cross Center Family Past Accepting new patients
Athens Family Medicine LLC PastSince Sep 8, 2025 Accepting new patients

Locations

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

1131 SE Military Dr
Ste 117
San Antonio, TX 78214
Phone (210) 924-8146

517 SW Military Dr
Ste 106
San Antonio, TX 78221
Phone (210) 921-0322

23611 Ih 10 W
Ste 101
San Antonio, TX 78257
Phone (210) 698-6617

11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588

3412 Roosevelt Ave
San Antonio, TX 78214
Phone (210) 924-8146

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: roberto.ruiz@wellmed.eclinicaldirectplus.com

Organizations & group practices 7

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": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1699753426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SE MILITARY DR",
            "address_2": "STE. 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142801",
            "telephone_number": "210-924-8146",
            "fax_number": "210-675-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 SE MILITARY DR",
            "address_2": "STE. 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142801",
            "telephone_number": "210-924-8146",
            "fax_number": "210-675-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ROBERTO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "F4457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "262900YLPS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1225328-07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.