Jaime E Ruiz Montero, MD | |
4320 Fir Street, Suite 410, East Chicago, IN 46312-3052 | |
(219) 397-8965 | |
(219) 397-9351 |
Full Name | Jaime E Ruiz Montero |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 4320 Fir Street, East Chicago, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245360726 | NPI | - | NPPES |
90001247 | Other | IL | BCBSIL |
000000224980 | Other | IN | ANTHEM |
000000224980 | Other | ANTHEM BCBS | |
200287720B | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01052348 (Indiana) | Secondary |
207R00000X | Internal Medicine | 01052348A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Alpha Home Health Care Inc | Highland, IN | Home health agency |
Community Home Health Services | Munster, IN | Home health agency |
St Catherine Hospital Inc | East chicago, IN | Hospital |
Community Hospital | Munster, IN | Hospital |
St Mary Medical Center Inc | Hobart, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
219 Health Network Inc | 0547521452 | 41 |
Entity Name | St Catherine Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396847596 PECOS PAC ID: 1052225604 Enrollment ID: O20031118000149 |
Entity Name | Community Care Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
Entity Name | 219 Health Network Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093213506 PECOS PAC ID: 0547521452 Enrollment ID: O20180308002615 |
Mailing Address | Practice Location Address |
---|---|
Jaime E Ruiz Montero, MD 9660 Wicker Avenue, St John, IN 46373-9487 Ph: (219) 397-8965 | Jaime E Ruiz Montero, MD 4320 Fir Street, Suite 410, East Chicago, IN 46312-3052 Ph: (219) 397-8965 |
Kanayo K Odeluga, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-6000 Fax: 219-397-6358 | |
Mark R Gardner, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 4321 Fir St Ste 313, East Chicago, IN 46312 Phone: 219-392-7424 Fax: 219-392-7450 | |
Amit Kakkar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Fir St, Ste 320, East Chicago, IN 46312 Phone: 219-392-7992 Fax: 219-392-7987 | |
Dr. Kantilal S. Patel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 W Chicago Ave, East Chicago, IN 46312 Phone: 219-397-1342 Fax: 219-397-2580 | |
Leonid Kats, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2323 Broadway St, East Chicago, IN 46312 Phone: 219-354-8910 Fax: 219-354-0900 | |
Dr. Praveen Nallapareddy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4320 Fir St Unit 210, East Chicago, IN 46312 Phone: 219-836-6002 |