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SEBASTIAN RUIZ MD
NPI 1851910509
Internal Medicine in Indianapolis, IN

Active since April 13, 2020PECOS EnrolledAccepts Medicare Assignment
1130 W MICHIGAN ST, INDIANAPOLIS, IN 46202(317) 278-2686 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Apr 13, 2020 (2 updates tracked since 2020).

About Sebastian Ruiz Md NPPES

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

SEBASTIAN RUIZ MD (NPI 1851910509) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01089760A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1851910509
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSEBASTIAN RUIZCredential: MD
Location Address1130 W MICHIGAN STIndianapolis, IN 46202-5209
Mailing Address1130 W Michigan StIndianapolis, IN 46202-5209 · (323) 633-8838
Phone(317) 278-2686
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1851910509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01089760A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1130 W MICHIGAN ST, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (317) 962-8776

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sebastian Ruiz 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 ID345661146
PECOS Enrollment IDI20230627000258
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 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.

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.
242 services99 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.
212 services83 patients
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.
80 services78 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.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 20

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

ISAAC HUNTER MD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST, FESLER HALL ROOM 204
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275
NICOLE KATHLEEN RUD MD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 278-1440
TIMOTHY WAITE DO
Anesthesiology
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-0076
CHLOE COULTER MD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275
KRISTIN ELIZABETH KIM M.D.
Anesthesiology
1130 W MICHIGAN ST, FESLER HALL 204
INDIANAPOLIS, IN 46202
Marion County (713) 274-4343
NAMRATHA KOLUR
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-0076
MARGARET M SPOLNIK MD
Internal Medicine
1130 W MICHIGAN ST, SUITE 318
INDIANAPOLIS, IN 46202
Marion County (317) 292-2192
MARGARET WATKINS MD
Student in an Organized Health Care Education/Training Program
1130 W MICHIGAN ST
INDIANAPOLIS, IN 46202
Marion County (317) 274-0275

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 Sebastian Ruiz's NPI number?

The NPI number for Sebastian Ruiz is 1851910509. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Sebastian Ruiz located?

Sebastian Ruiz practices at 1130 W Michigan St, Indianapolis, IN 46202. The listed phone number is (317) 278-2686.

What is Sebastian Ruiz's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sebastian Ruiz enrolled in Medicare?

Yes. Sebastian 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.

What insurance does Sebastian Ruiz accept?

Health plans from CareSource list Sebastian 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 Sebastian Ruiz affiliated with any hospitals?

According to CMS data, Sebastian Ruiz is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Sebastian Ruiz was last updated on June 23, 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.