Individual provider Active NPI

Ruby Jain Shah, M.D.

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1003134974
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q6034 Issued in TX
Practice address
6201 Dallas Pkwy # 210
Plano, TX 75024-3529
Phone
(972) 640-1787
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Preventive Medicine) Physician 2083B0002X Q6034 TX
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A123804 CA
Internal Medicine Physician 207R00000X Q6034 TX Primary

Addresses

Primary practice location

6201 Dallas Pkwy # 210
Plano, TX 75024-3529

Mailing address

6201 Dallas Pkwy Ste 210
Plano, TX 75024-4181
Phone (972) 640-1787

Other names 1

  • Ruby Jain Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151214000942 TX Practitioner - Internal Medicine 1456593433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitality Weight Loss and Wellness Institute PLLCGroup PAC ID 0345530333, 6 clinicians

Practice addresses (Care Compare)

6201 Dallas Pkwy
Suite 210
Plano, TX 75024-4181
Phone (972) 737-3296

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Better Health Medical, PLLC CurrentSince May 23, 2022 Accepting new patients
Vitality Weight Loss and Wellness Institute, PLLC Internal Medicine Current Accepting new patients

Locations

6201 Dallas Pkwy
Ste 210
Plano, TX 75024
Phone (469) 616-1922

5760 Legacy Dr
Ste B3424
Plano, TX 75024

Interoperability endpoints

  • Direct secure messaging: ruby.shah.1@15881.direct.athenahealth.com
  • Direct secure messaging: ruby.shah.1@26909.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1003134974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY STE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244181",
            "telephone_number": "972-640-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 DALLAS PKWY # 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243529",
            "telephone_number": "972-640-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUBY",
        "middle_name": "JAIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "TX",
            "license": "Q6034",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123804",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q6034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "JAIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.