Active NPI
David R Ruiz-Bello, M.D.
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N1114
- Practice address
- 2821 Lackland Road, Suite 216
Fort Worth, TX 76116-4193 - Phone
- (817) 378-3640
- Fax
- (817) 740-8516
- NPI assigned
- Sep 18, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N1114 | TX | Primary |
Addresses
Primary practice location
2821 Lackland Road, Suite 216
Fort Worth, TX 76116-4193
Mailing address
P.O. Box 961205
Fort Worth, TX 76161-1205
Phone (817) 740-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01080712 | Other | TX | MEDICARE RAILROAD |
| 281076402 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 947-2385
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N1114 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Internal Medicine | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Internal Medicine | Current | Accepting new patients |
Locations
221 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-7200
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Internal Medicine
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351123200000",
"number": "1770732398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 961205",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761611205",
"telephone_number": "817-740-8400",
"fax_number": "817-740-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 LACKLAND ROAD, SUITE 216",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761164193",
"telephone_number": "817-378-3640",
"fax_number": "817-740-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ-BELLO",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-18",
"last_updated": "2012-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N1114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01080712",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281076402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.