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MARIO A RUIZ MD
NPI 1841281177
Internal Medicine - Nephrology in Denton, TX

Active since November 04, 2005PECOS Enrolled
3315 COLORADO BLVD, SUITE 102, DENTON, TX 76210(940) 320-1708(940) 565-5457 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mario A Ruiz Md NPPES

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

MARIO A RUIZ MD (NPI 1841281177) is an individual nephrology provider in Denton, Texas, licensed in Texas (K2993) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - North Las Vegas, and is a graduate of University Of California, San Diego School Of Medicine (1990).

NPPES Registry Identity

NPI1841281177
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARIO A RUIZCredential: MD
Location Address3315 COLORADO BLVD, SUITE 102Denton, TX 76210-6884
Mailing Address3315 Colorado Blvd, Suite 102Denton, TX 76210-6884 · (940) 320-1708 · Fax (940) 565-5457
Phone(940) 320-1708
Fax(940) 565-5457
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1990
Enumeration DateNovember 4, 2005
Last NPPES UpdateDecember 17, 2015
✔ NPI 1841281177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · K2993
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3315 COLORADO BLVD, Denton, TX 76210
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Other Identifiers 3

Medicare PIN8422N3TX
Medicaid132484008TX
Other390008040Rr Medicare

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mario A Ruiz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4284622267
PECOS Enrollment IDI20100807000035, I20230519001300, I20230524001657, I20230607003124, I20251219001784
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 8

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
92 services91 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.
54 services33 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.
53 services53 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
41 services40 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.
30 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Rose Dominican Hospitals - North Las Vegas

Acute Care Hospitals · North Las Vegas, NV
OwnershipProprietary
CMS Certification Number290058
Location1550 W Craig RanchNorth Las Vegas, NV 89031 · Clark County
Emergency services

Integris Community Hospital - Council Crossing

Acute Care Hospitals · Oklahoma City, OK
OwnershipProprietary
CMS Certification Number370240
Location9417 N Council RoadOklahoma City, OK 73162 · Oklahoma County
Emergency services

Baylor Emergency Medical Center At Aubrey

Acute Care Hospitals · Aubrey, TX
OwnershipProprietary
CMS Certification Number670062
Location26791 Highway 380Aubrey, TX 76227 · Denton County
Emergency services

Baptist Neighborhood Hospital Thousand Oaks

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670078
Location16088 San PedroSan Antonio, TX 78232 · Bexar County
Emergency services

Baylor Scott And White Emergency Hospital

Acute Care Hospitals · Burleson, TX
OwnershipProprietary
CMS Certification Number670107
Location12500 South Freeway Suite 100Burleson, TX 76028 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
88%33 patients4/55-star benchmark: 95%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%147 patients5/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,198 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
74%410 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
78%632 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
45%395 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 99% · 316 patients
100%316 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
9 suppliers101 claims102 services$14.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers113 claims114 services$62.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ASAD ZAMANN MD
Internal Medicine (Nephrology)
3315 COLORADO BLVD, STE 102
DENTON, TX 76210
Denton County (940) 320-1708
DR. MOHAMMAD FARHAD HUSSAIN MD
Internal Medicine (Nephrology)
3315 COLORADO BLVD, SUITE 102
DENTON, TX 76210
Denton County (940) 320-1708
GEORGE A ROJAS DO
Internal Medicine
3315 COLORADO BLVD, STE 102
DENTON, TX 76210
Denton County (940) 320-1708

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 Mario Ruiz's NPI number?

The NPI number for Mario Ruiz is 1841281177. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Mario Ruiz located?

Mario Ruiz practices at 3315 Colorado Blvd Suite 102, Denton, TX 76210. The listed phone number is (940) 320-1708.

What is Mario Ruiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mario Ruiz enrolled in Medicare?

Yes. Mario Ruiz is registered in the Medicare PECOS enrollment system.

What insurance does Mario Ruiz accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Mario 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 Mario Ruiz affiliated with any hospitals?

According to CMS data, Mario Ruiz is affiliated with Saint Rose Dominican Hospitals - North Las Vegas, Integris Community Hospital - Council Crossing, Baylor Emergency Medical Center At Aubrey, Baptist Neighborhood Hospital Thousand Oaks and Baylor Scott And White Emergency Hospital.

When was this NPI record last updated?

The NPPES record for Mario Ruiz was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.