Active NPI
Herman B Ruiz, MD
- Physical Medicine & Rehabilitation Physician
- Mt Pleasant, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- HR077496
- Practice address
- 2935 Health Pkwy
Mt Pleasant, MI 48858-8931 - Phone
- (989) 772-1609
- Fax
- (989) 953-4949
- NPI assigned
- Apr 19, 2006
- Last updated
- Jan 4, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | HR077496 | MI | Primary |
| Interventional Pain Medicine Physician | 208VP0014X | 4301077496 | MI |
Addresses
Primary practice location
2935 Health Pkwy
Mt Pleasant, MI 48858-8931
Mailing address
2935 Health Pkwy
Mt Pleasant, MI 48858-8931
Phone (989) 772-1609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD1273 | Other | MI | MEDICARE RAILROAD GROUP |
| 1174698336 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Physical Medicine and Rehabilitation
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2935 Health Pkwy
Mt Pleasant, MI 48858-8931
Phone (989) 772-1609
6079 W Maple Rd
Michigan Spine and Pain
West Bloomfield, MI 48322-2283
Phone (248) 851-7246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HR077496 | MI | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Rehabilitation Physicians PLC | Current | Accepting new patients | |
| Total Extended Care Services PC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Shoreline Neurosurgical Consulting, PLC | Past | Accepting new patients |
Locations
725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631
400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
2480 W Campus Dr
Mt Pleasant, MI 48858
Phone (989) 772-1609
2480 W Campus Dr
#S500
Mt Pleasant, MI 48858
Phone (517) 772-1609
2480 W Campus Dr
Ste 500
Mt Pleasant, MI 48858
Phone (989) 772-1609
2935 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 772-1609
2935 Health Pkwy
#P
Mt Pleasant, MI 48858
Phone (989) 772-1609
25375 Kelly Rd
Roseville, MI 48066
Phone (586) 733-6022
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Michigan Spine and Pain
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1174698336
-
- Physical Medicine & Rehabilitation Physician
- Englewood, OH
- NPI 1699522029
MI
-
- Specialist
- Muskegon, MI
- NPI 1104005065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1902861495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2935 HEALTH PKWY",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488588931",
"telephone_number": "989-772-1609",
"fax_number": "989-953-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2935 HEALTH PKWY",
"city": "MT PLEASANT",
"state": "MI",
"postal_code": "488588931",
"telephone_number": "989-772-1609",
"fax_number": "989-953-4949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "HERMAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MI",
"license": "HR077496",
"primary": true
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "MI",
"license": "4301077496",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "DD1273",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174698336",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mt Pleasant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.