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JOSE ENRIQUE SAN MIGUEL-RUIZ M.D.
NPI 1144675505
Orthopaedic Surgery in Durham, NC

Active since May 04, 2016PECOS EnrolledAccepts Medicare Assignment
200 TRENT DR, DURHAM, NC 27710(919) 613-7797 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Enrique San Miguel-ruiz M.d. NPPES

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

JOSE ENRIQUE SAN MIGUEL-RUIZ M.D. (NPI 1144675505) is an individual orthopaedic surgery provider in Durham, North Carolina, licensed in North Carolina (2021-02458) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Caldwell Memorial Hospital, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1144675505
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOSE ENRIQUE SAN MIGUEL-RUIZCredential: M.D.
Location Address200 TRENT DRDurham, NC 27710-1450
Mailing Address2450 Riverside Ave, R200Minneapolis, MN 55454-1450 · (612) 273-8043 · Fax (612) 273-7959
Phone(919) 613-7797
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016
Enumeration DateMay 4, 2016
Last NPPES UpdateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1144675505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 2021-02458
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 TRENT DR, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Enrique San Miguel-ruiz M.d. 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 ID2264727981
PECOS Enrollment IDI20220201002037
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose San Miguel-ruiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Caldwell Memorial Hospital, Inc.
136 mi
Internal Medicine
701 1ST ST NW STE C
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1801688445 (828) 757-5100
Gifford Medical Center Inc.
639 mi
General Acute Care Hospital
44 S MAIN ST
Randolph, VT 05060
  • Reassigned Medicare billing, Vermont enrollment
  • 167 clinicians in this Medicare group
NPI 1942329446 (802) 728-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
143 services107 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
68 services68 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Caldwell Memorial Hospital

Acute Care Hospitals · Lenoir, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340041
Location321 Mulberry St SWLenoir, NC 28645 · Caldwell County
Emergency services

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

DR. CHARLES TEO AM,MBBS, FRACS
Neurological Surgery
200 TRENT DR, CLINIC 3-1
DURHAM NC, NC 27710
Durham County (919) 681-4681
KAREN E WELTY-WOLF M.D.
Internal Medicine (Infectious Disease)
200 TRENT DR, DUMC BOX 3518
DURHAM, NC 27710
Durham County (919) 684-6143
MS. NANCY LELLE-MICHEL
Registered Nurse (Diabetes Educator)
200 TRENT DR, DUKE CLINIC 2F/2G
DURHAM, NC 27710
Durham County (919) 684-8111
MRS. SARAH SEBASTIAN SUGGS PA-C
Physician Assistant
200 TRENT DR, BOX 3146
DURHAM, NC 27710
Durham County (919) 681-3570
OLIVIA URSULA TRUMBLE MD
Student in an Organized Health Care Education/Training Program
200 TRENT DR
DURHAM, NC 27710
Durham County (919) 684-3491
MARTHA SUE CARRAWAY M.D.
Internal Medicine (Pulmonary Disease)
200 TRENT DR, DUMC BOX 3315
DURHAM, NC 27710
Durham County (919) 684-6143
DR. DANIEL CHRISTOPHER PARKER MD
Internal Medicine
200 TRENT DR
DURHAM, NC 27710
Durham County (919) 684-3491
MADISEN RENAE SECCURRO MD
Student in an Organized Health Care Education/Training Program
200 TRENT DR
DURHAM, NC 27710
Durham County (919) 684-3491

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 Jose San Miguel-ruiz's NPI number?

The NPI number for Jose San Miguel-ruiz is 1144675505. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Where is Jose San Miguel-ruiz located?

Jose San Miguel-ruiz practices at 200 Trent Dr, Durham, NC 27710. The listed phone number is (919) 613-7797.

What is Jose San Miguel-ruiz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jose San Miguel-ruiz enrolled in Medicare?

Yes. Jose San Miguel-ruiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jose San Miguel-ruiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose San Miguel-ruiz reassigns Medicare benefits to 2 organizations: Caldwell Memorial Hospital, Inc. (Hickory, NC) and Gifford Medical Center Inc. (Randolph, VT). Each 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 Jose San Miguel-ruiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose San Miguel-ruiz accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Jose San Miguel-ruiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose San Miguel-ruiz affiliated with any hospitals?

According to CMS data, Jose San Miguel-ruiz is affiliated with Caldwell Memorial Hospital and Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Jose San Miguel-ruiz was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.