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MRS. KY TAI LE RUIZ AA, PA
NPI 1265148068
Anesthesiologist Assistant in Snellville, GA

Active since January 25, 2023
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Ky Tai Le Ruiz Aa, Pa NPPES

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

MRS. KY TAI LE RUIZ AA, PA (NPI 1265148068) is an individual anesthesiologist assistant in Snellville, Georgia and active in the NPI registry since January 2023. She is affiliated with Northside Hospital Gwinnett and is a graduate of Emory University School Of Medicine (2022).

NPPES Registry Identity

NPI1265148068
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMRS. KY TAI LE RUIZCredential: AA, PA
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address1704 Creek Mill TrceLawrenceville, GA 30044-6184 · (404) 384-8552
Phone(770) 979-0200
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2022
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1265148068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1700 MEDICAL WAY, Snellville, GA 30078
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Ky Tai Le Ruiz Aa, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628443835
PECOS Enrollment IDI20230330003069

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Piedmont Eastside Medical Center

Acute Care Hospitals · Snellville, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110192
Location1700 Medical WaySnellville, GA 30078 · Gwinnett County
Emergency services Birthing friendly

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.

MR. JASON TODD JONES NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (478) 464-8134
YOVANIE JEAN-PIERRE NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200
TAYANA BUCHANAN
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (404) 610-0205
WILLIAM MUSARRA A.A.
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
MS. DONNA ARTHUR PA-C
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 332-1234
JEREMY L STERLING PA
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
APOLLO EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (469) 401-2386
CHARLOTTE A HAYES MD
Radiology (Diagnostic Radiology)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200

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 Ky Tai Ruiz's NPI number?

The NPI number for Ky Tai Ruiz is 1265148068. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Ky Tai Ruiz located?

Ky Tai Ruiz practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Ky Tai Ruiz's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Ky Tai Ruiz enrolled in Medicare?

Yes. Ky Tai Ruiz is registered in the Medicare PECOS enrollment system.

Is Ky Tai Ruiz affiliated with any hospitals?

According to CMS data, Ky Tai Ruiz is affiliated with Northside Hospital Gwinnett and Piedmont Eastside Medical Center.

When was this NPI record last updated?

The NPPES record for Ky Tai Ruiz was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.