MARYLU RUIZ
NPI 1104375849
Counselor - Professional in Berwyn, IL
About Marylu Ruiz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARYLU RUIZ (NPI 1104375849) is an individual professional provider in Berwyn, Illinois, licensed in Illinois (180015958) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marylu Ruiz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marylu Ruiz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Berwyn, IL 60402
- Reassigned Medicare billing, Illinois enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marylu Ruiz's NPI number?
The NPI number for Marylu Ruiz is 1104375849. It was assigned to this individual provider in the NPPES registry on September 22, 2016.
Where is Marylu Ruiz located?
Marylu Ruiz practices at 6918 W Windsor Ave, Berwyn, IL 60402. The listed phone number is (708) 955-3656.
What is Marylu Ruiz's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marylu Ruiz enrolled in Medicare?
Yes. Marylu Ruiz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marylu Ruiz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marylu Ruiz reassigns Medicare benefits to Pillars Community Health (Berwyn, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marylu Ruiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marylu Ruiz was last updated on August 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marylu Ruiz · NPI 1104375849
Professional provider in Berwyn, Illinois. Individual provider, active in the CMS NPPES registry since September 22, 2016.
## Identity
- **NPI:** 1104375849 (Entity type: Individual)
- **Enumerated:** September 22, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180015958 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6918 W WINDSOR AVE, Berwyn, IL 60402-3334
- **Phone:** (708) 955-3656
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pillars Community Health (NPI 1184640666, Berwyn, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104375849) · Data from the CMS NPPES public registry.