Active NPI
Karen M Duenas Ruiz, MD
- Adult Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 036.170712
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Center
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
| License | State | Type | Specialty |
|---|---|---|---|
| 186665 | CA | MD | Adult Medicine Physician |
| 036.170712 | IL | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PCC Community Wellness Center | Current | Accepting new patients | |
| Esperanza Health Centers | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| Esperanza Health Centers | Current | 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
- kduenasruiz19363@syhealth.direct-ci.com
- karen.duenas.ruiz.1@11903.direct.athenahealth.com
- karen.duenas.ruiz.1@13158.direct.athenahealth.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124187125
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1659127199
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1265114623
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.