LOURDES R BORGES RUIZ (MD) – Family Medicine Physician, NPI 1104885391
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for LOURDES R BORGES RUIZ (MD)
2220 Riverside Ave
HealthPartners Riverside Urgent Care Clinic
Minneapolis, MN 55454
Phone: (952) 853-8800
Fax: (612) 371-1732
Type: Location
535 Hospital Rd
New Richmond, WI 540171449
Phone: (715) 243-3400
Type: Location
535 HOSPITAL RD
NEW RICHMOND, WI 540171449
Phone: (715) 243-3400
Type: Location
33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States
MS21110Q
MINNEAPOLIS, MN 554254516
Phone: (952) 853-8800
Fax: (612) 371-1732
Type: Mailing
1700 LIVINGSTON AVE STE 222
SAINT PAUL, MN 551185938
Phone: (612) 850-0923
Fax: (728) 203-9709
Type: Location
Health Partners Riverside Urgent Care, 2220, Riverside Avenue, Phillips, Minneapolis, Hennepin County, Minnesota, 55454, United States
HEALTHPARTNERS RIVERSIDE URGENT CARE CLINIC
MINNEAPOLIS, MN 55454
Phone: (952) 853-8800
Fax: (612) 371-1732
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: 2025-08-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20041122001189 | I | Family Practice | MN | TBD |
| I20250407000142 | I | Family Practice | IA | TBD |
| I20250827001261 | I | Family Practice | WI | 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 55454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| Nurse Practitioner | IA | |
| D E R M A T O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| - | IA | |
| Family Practice | IA | |
| Emergency Medicine | IA | |
| Nurse Practitioner | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Nurse Practitioner | IA |
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