Individual provider Active NPI

Daniel Paul Ruiz, PA-C

  • Physician Assistant
  • Topeka, KS
National Provider Identifier
1821213257
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00754 Issued in KS
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 270-8880
Fax
(785) 270-8881
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2005036215 MO
Physician Assistant 363A00000X 15-00754 KS Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

2660 SW 3Rd St
Topeka, KS 66606-2442
Phone (785) 270-8880

Other practice location 1

2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744

Other practice location 2

6725 SW 29th St
Topeka, KS 66614-5625
Phone (785) 354-0517

Other practice location 3

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 270-8880

Other practice location 4

4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 270-0080

Other practice location 5

1516 SW 6th Ave
Topeka, KS 66606-1696
Phone (785) 270-0047

Other identifiers 2

IdentifierTypeStateIssuer
068002158OtherKSMEDICARE PTAN
100416220CMedicaidKS

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address druiz7342@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address druiz7342@stormontvaildirect.org Direct COTTON-O'NEIL CLINIC REVOCABLE TRUST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000887 KS Practitioner - Physician Assistant 5597700393 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
15-00754KSMDPhysician Assistant
2005036215MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 7, 2012 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince May 7, 2012 Accepting new patients
Tallgrass Balance, Hearing & Physical Therapy LLC PastSince Oct 1, 2012 Accepting new patients
Tallgrass General, Vascular & Thoracic Surgery Past Accepting new patients

Locations

601 SW Corporate Vw
Ste 220
Topeka, KS 66615
Phone (785) 228-6100

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

909 SW Mulvane St
Topeka, KS 66606
Phone (785) 357-0301

601 SW Corporate Vw
Ste 200
Topeka, KS 66615
Phone (785) 234-0880

6001 SW 6th Ave
Ste 220
Topeka, KS 66615
Phone (785) 232-0444

1516 SW 6th Ave
Topeka, KS 66606
Phone (785) 232-1005

4505 NW Fielding Rd
Topeka, KS 66618
Phone (785) 270-0047

901 SW Garfield Ave
Topeka, KS 66606

2660 SW 3rd St
Topeka, KS 66606
Phone (785) 270-8880

6725 SW 29th St
Topeka, KS 66614
Phone (785) 270-0047

2909 SE Walnut Dr
Topeka, KS 66605
Phone (785) 267-0744

Interoperability endpoints

  • Direct secure messaging: druiz7342@stormontvaildirect.org

Organizations & group practices 4

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1821213257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-270-8880",
            "fax_number": "785-270-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-270-8880",
            "fax_number": "785-270-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2909 SE Walnut Dr",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666052189",
            "country_code": "US",
            "telephone_number": "785-267-0744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6725 SW 29th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666145625",
            "country_code": "US",
            "telephone_number": "785-354-0517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-270-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4505 NW Fielding Rd",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666182651",
            "country_code": "US",
            "telephone_number": "785-270-0080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 SW 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061696",
            "country_code": "US",
            "telephone_number": "785-270-0047",
            "fax_number": "785-270-0086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "DANIEL",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2005036215",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "068002158",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416220C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "druiz7342@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2660 SW 3rd St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "druiz7342@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure Messaging",
            "affiliationName": "COTTON-O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2660 SW 3rd St",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666062442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.