Helene Ruiz Pla, MD
NPI 1922171750 · Internal Medicine Physician · Melrose Park, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Helene Ruiz Pla, MD is a Internal Medicine Physician provider in Melrose Park, IL (NPI 1922171750).
Provider details
- NPI number
- 1922171750
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036079717 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
315 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 167 | $92 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 92 | $130 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 28 | $9 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 28 | $133 |
Typical Medicare-allowed amounts for these services range $9–$133 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 67 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 184 | 54 |
| Metformin Hcl | 151 | 55 |
| Atorvastatin Calcium | 138 | 48 |
| Losartan Potassium | 128 | 40 |
| Amlodipine Besylate | 114 | 40 |
| Alprazolam | 88 | 26 |
| Lisinopril |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$875 across 25 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-17
- Last updated
- 2010-02-25
Frequently asked questions
- What is Helene Ruiz Pla's NPI number?
- Helene Ruiz Pla's National Provider Identifier (NPI) is 1922171750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Helene Ruiz Pla's specialty?
- Helene Ruiz Pla is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Helene Ruiz Pla located?
- Helene Ruiz Pla's practice location on file with NPPES is 1835 Broadway, Melrose Park, IL 60160-2040.
- What is Helene Ruiz Pla's phone number?
- The practice phone number listed in the NPPES registry for Helene Ruiz Pla is (708) 345-5272.
- Does Helene Ruiz Pla accept Medicare?
- Helene Ruiz Pla is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Helene Ruiz Pla's NPI active?
- Yes — Helene Ruiz Pla's NPI (1922171750) is active in the NPPES registry as of the last update on 2010-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.