DR. KAREN M DUENAS RUIZ MD
NPI 1972181345
Family Medicine - Adult Medicine in Chicago, IL

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
2434 W DIVISION ST, CHICAGO, IL 60622(773) 584-4178 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 24, 2024, Jul 16, 2024, Mar 30, 2021 (3 updates tracked since 2021).

About Dr. Karen M Duenas Ruiz Md NPPES

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

DR. KAREN M DUENAS RUIZ MD (NPI 1972181345) is an individual adult medicine provider in Chicago, Illinois, licensed in Illinois (036.170712) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2021).

NPPES Registry Identity

NPI1972181345
Entity TypeIndividualFemale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KAREN M DUENAS RUIZCredential: MD
Location Address2434 W DIVISION STChicago, IL 60622-2942
Mailing Address2434 W Division StChicago, IL 60622-2942
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateJuly 24, 20243 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
NPI 1972181345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Licenses Licensed in IL · 036.170712 Licensed in CA · 186665
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2434 W DIVISION ST, Chicago, IL 60622

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. Karen M Duenas 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 ID4183161375
PECOS Enrollment IDI20240807002445
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60622 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 8

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2434 W DIVISION ST
CHICAGO, IL 60622
Social Worker (Clinical)
2434 W DIVISION ST
CHICAGO, IL 60622
Internal Medicine (Infectious Disease)
2434 W DIVISION ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
2434 W DIVISION ST
CHICAGO, IL 60622
Internal Medicine (Infectious Disease)
2434 W DIVISION ST
CHICAGO, IL 60622
Nurse Practitioner (Family)
2434 W DIVISION ST
CHICAGO, IL 60622
Internal Medicine (Infectious Disease)
2434 W DIVISION ST
CHICAGO, IL 60622
Nurse Practitioner (Adult Health)
2434 W DIVISION ST
CHICAGO, IL 60622

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 Karen Duenas Ruiz's NPI number?

The NPI number for Karen Duenas Ruiz is 1972181345. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Karen Duenas Ruiz located?

Karen Duenas Ruiz practices at 2434 W Division St, Chicago, IL 60622. The listed phone number is (773) 584-4178.

What is Karen Duenas Ruiz's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Karen Duenas Ruiz enrolled in Medicare?

Yes. Karen Duenas 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 Karen Duenas Ruiz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Karen Duenas 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.

When was this NPI record last updated?

The NPPES record for Karen Duenas Ruiz was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.