Individual provider Active NPI

Chhiar Ruma, FNP

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1215634183
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022095304 Issued in MD
Practice address
6441 Jefferson Pike
Frederick, MD 21703-7039
Phone
(404) 570-6502
NPI assigned
Feb 13, 2023
Last updated
Feb 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2022095304 MD Primary

Addresses

Primary practice location

6441 Jefferson Pike
Frederick, MD 21703-7039

Mailing address

6441 Jefferson Pike
Frederick, MD 21703-7039
Phone (240) 457-0650

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230411001251 MD Practitioner - Nurse Practitioner 5496120156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Opal Medical Group PAGroup PAC ID 1658270301, 7 clinicians

Practice addresses (Care Compare)

1126 Opal CT
Hagerstown, MD 21740-5940
Phone (240) 420-2666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022095304MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opal Medical Group, P.a. Single Specialty CurrentSince Mar 22, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Dr. William D. Gift, PC Single Specialty PastSince Jul 22, 2008 Accepting new patients

Locations

1126 Opal Ct
Hagerstown, MD 21740
Phone (240) 420-0950

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1215634183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6441 JEFFERSON PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037039",
            "telephone_number": "240-457-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 JEFFERSON PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217037039",
            "telephone_number": "404-570-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMA",
        "first_name": "CHHIAR",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2022095304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.