Individual provider Active NPI

Ruegba Bekibele

  • Pediatrics Physician
  • Hays, KS
National Provider Identifier
1235752833
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0449992 Issued in KS
Practice address
2214 Canterbury Dr Ste 204
Hays, KS 67601-2375
Phone
(785) 623-2360
NPI assigned
May 19, 2020
Reactivated
Mar 1, 2022
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0449992 KS Primary

Addresses

Primary practice location

2214 Canterbury Dr Ste 204
Hays, KS 67601-2375

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20240926004312 KS Practitioner - Pediatric Medicine 9638600950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0449992KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hays Medical Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
Hays Medical Center, Inc. Current Accepting new patients
Hays Medical Center, Inc. Pediatrics CurrentSince Oct 1, 2024 Accepting new patients
Hays Medical Center Inc Past Accepting new patients
Pawnee Valley Community Hospital Inc Past Accepting new patients

Locations

2214 Canterbury Dr
Ste 204
Hays, KS 67601
Phone (785) 623-2360

2220 Canterbury Dr
Hays, KS 67601
Phone (785) 623-5000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1235752833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 CANTERBURY DR STE 204",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012375",
            "telephone_number": "785-623-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEKIBELE",
        "first_name": "RUEGBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "deactivation_date": "2022-01-17",
        "reactivation_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0449992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.