NPIMap

Individual provider Active NPI

Katrina Ruby

  • Physician Assistant
  • Owego, NY
National Provider Identifier
1235655887
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062238 Issued in PA
Practice address
42 W Main St
Suite 200 Cwing
Owego, NY 13827-1578
Phone
(607) 687-0350
NPI assigned
Aug 16, 2017
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA062238 PA Primary

Addresses

Primary practice location

42 W Main St
Suite 200 Cwing
Owego, NY 13827-1578

Mailing address

33 Lewis Rd
2ND FL
Binghamton, NY 13905-1048

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171025002940 NY Practitioner - Physician Assistant 7315213956 Reassigns benefits to 1 organization
I20210205000096 PA Practitioner - Physician Assistant 7315213956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

200 Lothrop St
Pittsburgh, PA 15213-2536

815 Freeport Rd
Pittsburgh, PA 15215-3399
Phone (412) 784-4396

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
021241NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Dec 28, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Dec 28, 2020 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Oct 2, 2017 Accepting new patients
United Medical Associates PC PastSince Jun 7, 2020 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33 Lewis Rd
Ste 2
Binghamton, NY 13905

42 W Main St
Owego, NY 13827
Phone (607) 687-0350

42 W Main St
Ste 200
Owego, NY 13827
Phone (607) 687-0350

2 Hot Metal St
Fl 3
Pittsburgh, PA 15203
Phone (412) 432-5869

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

Interoperability endpoints

  • Direct secure messaging: katrina.ruby@upmcdirect.com

Organizations & group practices 6

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 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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1235655887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "address_2": "2ND FL",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 W MAIN ST",
            "address_2": "SUITE 200 CWING",
            "city": "OWEGO",
            "state": "NY",
            "postal_code": "138271578",
            "telephone_number": "607-687-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-06-15",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owego, NY

Sources for this page

Verify at the official NPI Registry.