NPIMap

Individual provider Active NPI

Ruth Elizabeth Ceballos Calderon, MD

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1851944839
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
346511 Issued in LA
Practice address
4050 Ryan St.
Lake Charles, LA 70605
Phone
(337) 915-0691
Fax
(877) 706-9899
NPI assigned
Jul 19, 2019
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 346511 LA Primary
Internal Medicine Physician 207R00000X ME155785 FL

Addresses

Primary practice location

4050 Ryan St.
Lake Charles, LA 70605

Mailing address

4050 Ryan St
Lake Charles, LA 70605
Phone (337) 915-0691

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruth.ceballos.calderon.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, LA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220622000706 FL Practitioner - General Practice 7911386990
I20250715000019 LA Practitioner - Internal Medicine 7911386990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4050 Ryan St
Lake Charles, LA 70605-2820
Phone (337) 426-1176

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME155785FLMDInternal Medicine Physician
346511LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (la) PC Internal Medicine Current Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine CurrentSince Jul 7, 2025 Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine CurrentSince Jul 7, 2025 Accepting new patients
Centerwell Senior Primary Care (la) PC Internal Medicine Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

2900 E Texas St
Ste 100
Bossier City, LA 71111
Phone (318) 606-6737

4050 Ryan St
Lake Charles, LA 70605
Phone (337) 426-1176

Interoperability endpoints

  • Direct secure messaging: ruth.ceballos.calderon.1@29601.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1851944839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-915-0691",
            "fax_number": "877-706-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RYAN ST.",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70605",
            "telephone_number": "337-915-0691",
            "fax_number": "877-706-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEBALLOS CALDERON",
        "first_name": "RUTH",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "346511",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME155785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruth.ceballos.calderon.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4050 Ryan St.",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.