Ernesto Ruiz-Huidobro, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

K2579 Issued in TX

Practice address

900 E Southlake Blvd Ste 300
Southlake, TX 76092-6376

Phone

(817) 421-0770

Fax

(817) 421-4759

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, TX2 enrollments

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 2

Specialty

Allergy/Immunology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Regional Asthma and Allergy CenterGroup PAC ID 7719084359, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Texas Regional Asthma & Allergy Center

  • Allergy Physician
  • Southlake, TX
  • NPI 1568545739
  Medicare reassignment Care Compare group NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• Maria D Sabio, MD, PC

  • Allergy Physician
  • Kirkwood, MO
  • NPI 1376766642
  Medicare reassignment

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1790730273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926376",
            "telephone_number": "817-421-0770",
            "fax_number": "817-421-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E SOUTHLAKE BLVD STE 300",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926376",
            "telephone_number": "817-421-0770",
            "fax_number": "817-421-4759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3349 Golden Triangle Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761777165",
            "country_code": "US",
            "telephone_number": "817-421-0770",
            "fax_number": "817-562-5008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-HUIDOBRO",
        "first_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K2579",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "K2579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Rothbart, MD
• Rozanne Roux James, AUD
• Mathew Roy
• Royal Children'S Home, Inc.
• Janice F Rubbelke, FNP-BC
• Margaret McDougal Runner, MD
• Rural Interventional Pain Providers PLLC
• Rodney Jay Russell, DC
• Charles Byrom Russey, MD
• Philippe Richard Russian

• Allergy & Immunology Physician in Southlake, TX
• Providers in Southlake, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.

Verify at the official NPI Registry.