Individual provider Active NPI

Herman B Ruiz, MD

  • Physical Medicine & Rehabilitation Physician
  • Mt Pleasant, MI
National Provider Identifier
1902861495
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
HR077496 Issued in MI
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DD1273OtherMIMEDICARE RAILROAD GROUP
1174698336MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050523000390 MI Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6709828593 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
HR077496MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation Physicians PLC Current Accepting new patients
Total Extended Care Services PC Physical Medicine & Rehabilitation CurrentSince Jun 1, 2025 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.

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

Verify at the official NPI Registry.