Individual provider Active NPI

Sandra K Ruby, MD

  • Neurology Physician
  • Westminster, MD
National Provider Identifier
1104966803
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0070637 Issued in MD
Practice address
193 Stoner Ave
Suite 320
Westminster, MD 21157-5587
Phone
(410) 871-2204
Fax
(410) 871-2207
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0070637 MD Primary

Addresses

Primary practice location

193 Stoner Ave
Suite 320
Westminster, MD 21157-5587

Mailing address

193 Stoner Ave
Suite 320
Westminster, MD 21157-5587
Phone (410) 871-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110621000535 MD Practitioner - Neurology 0244418218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carroll Health Group LLCGroup PAC ID 3870627029, 68 clinicians

Practice addresses (Care Compare)

193 Stoner Ave
Suite 220
Westminster, MD 21157-6881
Phone (410) 876-3380

193 Stoner Ave
Suite 300
Westminster, MD 21157-5588
Phone (410) 871-9032

200 Memorial Ave
Westminster, MD 21157-5726
Phone (410) 848-3000

300 Saint Luke Cir
Westminster, MD 21158-4174
Phone (443) 605-1031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.16 of 100Reported as group
Quality
75.05
Promoting interoperability
100
Improvement activities
40
Cost
68.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070637MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Orthopedic Specialists, LLC CurrentSince Sep 15, 2019 Accepting new patients
Carroll Health Group, LLC Neurology CurrentSince Jul 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5415 Old Court Rd
Ste S04
Randallstown, MD 21133
Phone (410) 701-4437

193 Stoner Ave
Ste 300
Westminster, MD 21157
Phone (410) 848-4664

193 Stoner Ave
Ste 220
Westminster, MD 21157
Phone (410) 871-2204

193 Stoner Ave
Ste 320
Westminster, MD 21157
Phone (410) 871-2204

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1104966803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 320",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 STONER AVE",
            "address_2": "SUITE 320",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575587",
            "telephone_number": "410-871-2204",
            "fax_number": "410-871-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "SANDRA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0070637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.