Individual provider Active NPI

Juan J Perez Ruiz, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1821106261
Registry record updated Nov 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
022070 Issued in LA
Practice address
155 Hospital Dr
Ste 402
Lafayette, LA 70503
Phone
(337) 234-8018
Fax
(337) 235-0360
NPI assigned
Aug 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 022070 LA Primary

Addresses

Primary practice location

155 Hospital Dr
Ste 402
Lafayette, LA 70503

Mailing address

155 Hospital Dr
Ste 402
Lafayette, LA 70503
Phone (337) 234-8018

Other identifiers 1

IdentifierTypeStateIssuer
1492558MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080916000375 LA Practitioner - Internal Medicine 0244121630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

4212 W Congress St
Family Health Plaza
Lafayette, LA 70506-6765
Phone (337) 216-9018

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures, Inc Internal Medicine CurrentSince Oct 1, 2010 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 1, 2010 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Bradley J. Chastant, II MD LLC Internal Medicine Past Accepting new patients
Department of Health and Hospitals Past Accepting new patients
Louisiana Department of Health, Department of Health and Hospitals Past Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

155 Hospital Dr
Ste 402
Lafayette, LA 70503
Phone (337) 234-8018

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

461 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8646

4212 W Congress St
Lafayette, LA 70506
Phone (337) 216-9018

Interoperability endpoints

  • Direct secure messaging: jperezruiz1099191@direct.ochsner.org

Organizations & group practices 6

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 8

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1821106261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 402",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-234-8018",
            "fax_number": "337-235-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL DR",
            "address_2": "STE 402",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-234-8018",
            "fax_number": "337-235-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ RUIZ",
        "first_name": "JUAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-27",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "022070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1492558",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.