DR. JOSE RUIZ M.D.
NPI 1861842601
Internal Medicine - Gastroenterology in Miami, FL

Active since June 13, 2016PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
8950 N KENDALL DR STE 306W, MIAMI, FL 33176(305) 596-9966 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Aug 15, 2022, Jun 13, 2016 (3 updates tracked since 2016).

About Dr. Jose Ruiz M.d. NPPES

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

DR. JOSE RUIZ M.D. (NPI 1861842601) is an individual gastroenterology provider in Miami, Florida, licensed in Florida (ME160149) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1861842601
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOSE RUIZCredential: M.D.
Location Address8950 N KENDALL DR STE 306WMiami, FL 33176-2131
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (305) 468-4185 · Fax (305) 675-3378
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2016
Enumeration DateJune 13, 2016
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
NPI 1861842601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in FL · ME160149 Licensed in PA · MD478573
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD478573 (PA)
8950 N KENDALL DR STE 306W, Miami, FL 33176

Secondary Practice Location 1

Location 13400 Spruce St, 3 Dulles BuildingPhiladelphia, PA 19104-4206 · Phone (215) 349-8222 · Fax (215) 349-5915

Accepted 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

Dr. Jose 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 ID5294020525
PECOS Enrollment IDI20230404002968
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
54 services51 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.
52 services35 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.
52 services36 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.
38 services38 patients
Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264
This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.
22 services17 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.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Nurse Practitioner
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176
Internal Medicine (Gastroenterology)
8950 N KENDALL DR STE 306W
MIAMI, FL 33176

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 Ruiz's NPI number?

The NPI number for Jose Ruiz is 1861842601. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Jose Ruiz located?

Jose Ruiz practices at 8950 N Kendall Dr Ste 306W, Miami, FL 33176. The listed phone number is (305) 596-9966.

What is Jose Ruiz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jose Ruiz enrolled in Medicare?

Yes. Jose 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 Jose Ruiz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed and Wellpoint list Jose 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 Ruiz affiliated with any hospitals?

According to CMS data, Jose Ruiz is affiliated with Baptist Hospital Of Miami and South Miami Hospital.

When was this NPI record last updated?

The NPPES record for Jose Ruiz was last updated on July 21, 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.