Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. ELIAS OMAR RUILOBA MD
NPI 1124014196
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Q: What is Elias Ruiloba's NPI number?

The NPI number for Elias Ruiloba is 1124014196. It was assigned to this individual provider in the NPPES registry on September 23, 2005. The provider is also known as E Omar Ruiloba.

Q: What is Elias Ruiloba's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Elias Ruiloba was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment

20950 N TATUM BLVD STE 380, PHOENIX, AZ 85050(480) 626-7584(480) 210-0230 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2026, Apr 8, 2026 (2 updates tracked since 2026).

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About Mr. Elias Omar Ruiloba Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELIAS OMAR RUILOBA MD (NPI 1124014196) is an individual psychiatry provider in Phoenix, Arizona, licensed in Arizona (25458) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1124014196

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMR. ELIAS OMAR RUILOBACredential: MD

Location Address20950 N TATUM BLVD STE 380Phoenix, AZ 85050-4258

Mailing Address20950 N Tatum Blvd Ste 380Phoenix, AZ 85050-4258 · (480) 626-7584 · Fax (480) 210-0230

Phone(480) 626-7584

Fax(480) 210-0230

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 23, 2005

Last NPPES UpdateJune 23, 20262 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1124014196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 25458

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

20950 N TATUM BLVD STE 380, Phoenix, AZ 85050

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Other Names 1

Professional Name (2)E Omar Ruiloba

Secondary Practice Locations 7

Location 12002 N Stockton Hill Rd, #104Kingman, AZ 86401-4698 · Phone (928) 718-4800 · Fax (928) 757-3256

Location 21501 N Gilbert Rd Ste 206Gilbert, AZ 85234-2394 · Phone (480) 626-7584

Location 32046 W Riverview Auto Dr Ste 401Mesa, AZ 85201-7597 · Phone (480) 626-7584

Location 41860 N 95th Ln Ste 300Phoenix, AZ 85037-5074 · Phone (480) 626-7584

Location 54545 E Chandler Blvd Ste 308Phoenix, AZ 85048-7646 · Phone (480) 626-7584

Location 61760 E Pecos Rd Ste 247Gilbert, AZ 85295-3214 · Phone (480) 626-7584

Location 72355 E Camelback Rd Ste 625Phoenix, AZ 85016-3458 · Phone (480) 626-7584

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Elias Omar Ruiloba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648241851

PECOS Enrollment IDI20040803000023

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

54 services22 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

48 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA OAKLEY PMHNP

Nurse Practitioner (Psychiatric/Mental Health)