Individual provider Active NPI

Andres Gabriel Ruiz, MD

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1740774686
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
S9594 Issued in TX
Practice address
1570 Lomaland Dr Ste a
El Paso, TX 79935-4200
Phone
(915) 590-4555
Fax
(915) 590-4718
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X S9594 TX Primary

Addresses

Primary practice location

1570 Lomaland Dr Ste a
El Paso, TX 79935-4200

Mailing address

1570 Lomaland Dr Ste a
El Paso, TX 79935-4200

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
I20180911002501 TX Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9436409505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9594TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Topcare Medical Group Inc CurrentSince Jul 17, 2021 Accepting new patients
Eduardo Covarrubias M.D.; P.a. Pediatrics PastSince Jul 17, 2021 Accepting new patients

Locations

1570 Lomaland Dr
Ste A
El Paso, TX 79935
Phone (915) 590-4555

222 Las Colinas Blvd W
Ste 2000
Irving, TX 75039

Organizations & group practices 2

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": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1740774686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354200",
            "telephone_number": "915-590-4555",
            "fax_number": "915-590-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ANDRES",
        "middle_name": "GABRIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S9594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.