JENNIFER L RUIZ (M.D.) – Psychiatry Physician, NPI 1104863372
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
146 ADDICTION MEDICINE in MA
Provider Addresses for JENNIFER L RUIZ (M.D.)
1340 BOYLSTON ST
BOSTON, MA 022154302
Phone: (617) 267-0900
Type: Location
310, South Street, Forest Hills, Jamaica Plain, Boston, Suffolk County, Massachusetts, 02130, United States
JAMAICA PLAIN, MA 021303510
Phone: (617) 245-8900
Fax: (617) 245-8900
Type: Mailing
Citrus & Salt, 142, Berkeley Street, Back Bay, Boston, Suffolk County, Massachusetts, 02116, United States
FENWAY COMMUNITY HEALTH
BOSTON, MA 021165100
Phone: (617) 927-6232
Fax: (617) 262-0872
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: 2024-07-30
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240730001795 | I | Addiction Medicine | MA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Clinical Social Worker | MA | |
| Clinical Social Worker | MA | |
| - | NY | |
| Physician Assistant | MA | |
| O P T O M E T R Y | LA | |
| Clinical Social Worker | IL | |
| Family Practice | MA | |
| P S Y C H I A T R Y | MA | |
| Nurse Practitioner | MA |
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