OFELIA S RUIZ (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1912093014

OFELIA S RUIZ (MD) is a healthcare provider. based in Oakbrook terrace, Illinois. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 036100777 (IL). The NPI Number for OFELIA S RUIZ (MD) is 1912093014

Main info

Female
49 Years Of Experience
Accepts Medicare Assignment
Name
OFELIA S RUIZ (MD)
NPI
1912093014
Phone
(630) 418-3215
Address
1S280 SUMMIT AVE
Enumeration Date
5 October 2006
Last Update Date
31 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8477577515
Graduation Year
1977 (49 years ago)
PAC ID
3779578182
Group Practice PAC ID
0840288304
Professional Enrollment ID
I20040415001284
Address ID
IL606313707CH7435XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

766 PATHOLOGY in IL

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Provider Addresses for OFELIA S RUIZ (MD)

  • 1S280 SUMMIT AVE

    COURT A1

    OAKBROOK TERRACE, IL 601813936

    Phone: (630) 418-3215

    Type: Mailing

  • Presence Saint Mary Campus, 2233, West Division Street, Wicker Park, West Town, Chicago, Cook County, Illinois, 60622, United States

    CHICAGO, IL 606223043

    Phone: (312) 770-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040415001284IPathologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity681277$0
88342Special stained specimen slides to examine tissue, initial procedure146133$0
88341Special stained specimen slides to examine tissue, each additional procedure12634$0
88304Pathology examination of tissue using a microscope, moderately low complexity5244$0
88307Pathology examination of tissue using a microscope, moderately high complexity3828$0
View full utilization report →

Insurance plans in this area (ZIP 60181)

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Provider's Procedures

OFELIA S RUIZ (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYIL88307Pathology examination of tissue using a microscope, moderately high complexity3830
PATHOLOGYIL88342Tissue or cell analysis by immunologic technique196163

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840288304View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YIL
-IL
-IL
P A T H O L O G YCA
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
-IL

Reviews

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Frequently asked questions

What number should I use to identify OFELIA S RUIZ (MD) for billing?
Administrative and clinical systems typically use NPI 1912093014 for OFELIA S RUIZ (MD).
Should I treat OFELIA S RUIZ (MD) as an active provider?
Patients and plans typically see OFELIA S RUIZ (MD) as active in the national extract.
How should patients interpret OFELIA S RUIZ (MD)'s specialty?
The extract shows Anatomic Pathology & Clinical Pathology Physician for OFELIA S RUIZ (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to OFELIA S RUIZ (MD)?
OFELIA S RUIZ (MD) is associated with Oakbrook Terrace, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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