DR. CARLOS ALBERTO RUEDA RIOS M.D
NPI 1154617678
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Huntington, WV

Q: What is Carlos Rueda Rios's NPI number?

The NPI number for Carlos Rueda Rios is 1154617678. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Q: What is Carlos Rueda Rios's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Rueda Rios was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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 June 23, 2011PECOS EnrolledAccepts Medicare Assignment

1249 15TH ST STE 4000, HUNTINGTON, WV 25701(304) 691-8500(304) 691-8510 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2025, Nov 24, 2021, Oct 17, 2018 (3 updates tracked since 2018).

On this page

About Dr. Carlos Alberto Rueda Rios M.d NPPES

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

DR. CARLOS ALBERTO RUEDA RIOS M.D (NPI 1154617678) is an individual advanced heart failure and transplant cardiology provider in Huntington, West Virginia, licensed in West Virginia (28382) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary's Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154617678

Entity TypeIndividualMale

Primary Taxonomy207RA0001X

Provider Legal NameDR. CARLOS ALBERTO RUEDA RIOSCredential: M.D

Location Address1249 15TH ST STE 4000Huntington, WV 25701-3663

Mailing Address1448 10th Ave Ste 304Huntington, WV 25701-3579

Phone(304) 691-8500

Fax(304) 691-8510

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 23, 2011

Last NPPES UpdateMarch 11, 20253 updates tracked since enumeration

NPPES CertifiedMarch 11, 2025

✔ NPI 1154617678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

License✔ Licensed in WV · 28382

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 28382 (WV)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN16013 (FL)

1249 15TH ST STE 4000, Huntington, WV 25701

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Secondary Practice Locations 2

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 585-8137

Location 23075 US Route 60 Ste D265Huntington, WV 25705-8859 · Phone (304) 528-4600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Carlos Alberto Rueda Rios 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 ID5799081519

PECOS Enrollment IDI20181228000979

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

Medicare enrollment records show Carlos Rueda Rios reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physicians & Surgeons, Inc

0.2 mi

Internal Medicine

1600 MEDICAL CENTER DRIVE
Huntington, WV 25701

Reassigned Medicare billing, West Virginia enrollment
525 clinicians in this Medicare group

NPI 1730183286 (304) 691-8722

St Marys Medical Center, Inc.

2.2 mi

Internal Medicine

2900 1ST AVE
Huntington, WV 25702

Reassigned Medicare billing, West Virginia enrollment
21 clinicians in this Medicare group

NPI 1104681485 (304) 526-1014

St. Mary's Himg, LLC

4.6 mi

Internal Medicine

3075 US ROUTE 60
Huntington, WV 25705

Reassigned Medicare billing, West Virginia enrollment
103 clinicians in this Medicare group

NPI 1184233454 (304) 528-4600

Point Pleasant Physician Billing Services

36 mi

Multi-Specialty

2520 VALLEY DR
Pt Pleasant, WV 25550

Reassigned Medicare billing, West Virginia enrollment
82 clinicians in this Medicare group

NPI 1396798898 (304) 675-4340

University Of Miami

809 mi

Ambulatory Surgical

7103 FAIRWAY DR
Palm Beach Gardens, FL 33418

Reassigned Medicare billing, Florida enrollment
3,639 clinicians in this Medicare group

NPI 1346317039 (561) 515-1500

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 14

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.

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

179 services27 patients

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.

151 services122 patients

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.

146 services119 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

109 services107 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

65 services42 patients

3d radiographic procedure 76376

A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.

45 services44 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.

30 services30 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

27 services25 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.

22 services21 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services19 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

17 services14 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.

16 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

14 services14 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Medical Center

Acute Care Hospitals · Huntington, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510007

Location2900 1st AvenueHuntington, WV 25702 · Cabell County

Emergency services

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510022

Location501 Morris StreetCharleston, WV 25301 · Kanawha County

Emergency services Birthing friendly

Cabell Huntington Hospital, Inc

Acute Care Hospitals · Huntington, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510055

Location1340 Hal Greer BoulevardHuntington, WV 25701 · Cabell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

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 15

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

GEORGE J LINSENMEYER III MD

Internal Medicine (Cardiovascular Disease)