Individual provider Active NPI

Karen M Duenas Ruiz, MD

  • Adult Medicine Physician
  • Chicago, IL
National Provider Identifier
1972181345
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
036.170712 Issued in IL
Practice address
2434 W Division St
Chicago, IL 60622-2942
Phone
(773) 584-4178
NPI assigned
Mar 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 186665 CA
Adult Medicine Physician 207QA0505X 036.170712 IL Primary

Addresses

Primary practice location

2434 W Division St
Chicago, IL 60622-2942

Mailing address

2434 W Division St
Chicago, IL 60622-2942

Other practice location 1

435 H St
Chula Vista, CA 91910-4307
Phone (619) 691-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240806001796 IL Practitioner - Family Practice 4183161375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PCC Community Wellness CenterGroup PAC ID 1557270139, shared by 17 NPIs, 91 clinicians

Practice addresses (Care Compare)

14 Lake St
Oak Park, IL 60302-2606
Phone 7083830113220005

2434 W Division St
Chicago, IL 60622-2942
Phone (773) 584-4178

5425 W Lake St
Chicago, IL 60644-2342
Phone (773) 413-1920

5461 W Lake St
Chicago, IL 60644-2342
Phone 7083830113220005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186665CAMDAdult Medicine Physician
036.170712ILMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PCC Community Wellness Center CurrentSince Jul 22, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Oct 13, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 22, 2024 Accepting new patients
Esperanza Health Centers CurrentSince Oct 13, 2025 Accepting new patients
Esperanza Health Centers Past Accepting new patients

Locations

1940 S Western Ave
#205
Chicago, IL 60608
Phone (631) 877-0913

2001 S California Ave
Chicago, IL 60608
Phone (773) 484-1201

4058 W 63rd St
Chicago, IL 60629
Phone (773) 432-4033

4350 S Laporte Ave
Chicago, IL 60638

2001 S California Ave
Ste 100
Chicago, IL 60608
Phone (773) 640-5785

2434 W Division St
Chicago, IL 60622
Phone (773) 486-8820

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: kduenasruiz19363@syhealth.direct-ci.com
  • Direct secure messaging: karen.duenas.ruiz.1@11903.direct.athenahealth.com
  • Direct secure messaging: karen.duenas.ruiz.1@13158.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11903/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1972181345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222942",
            "telephone_number": "773-584-4178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "435 H St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104307",
            "country_code": "US",
            "telephone_number": "619-691-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUENAS RUIZ",
        "first_name": "KAREN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "186665",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IL",
            "license": "036.170712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.