Individual provider Active NPI

Kim Marie Ruby, MD

  • Orthopaedic Surgery Physician
  • San Diego, CA
National Provider Identifier
1295150365
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A126050 Issued in CA
Practice address
3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone
(858) 278-8031
NPI assigned
Feb 26, 2014
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A126050 CA Primary

Addresses

Primary practice location

3750 Convoy St
Suite 201
San Diego, CA 92111-3738

Mailing address

3750 Convoy St
Suite 201
San Diego, CA 92111-3738
Phone (858) 278-8031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160922002011 CA Practitioner - Orthopedic Surgery 8628365376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joel J. Smith, M.D. Inc.Group PAC ID 2668518424, 4 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

3750 Convoy St
Suite 116
San Diego, CA 92111-3739
Phone (858) 278-8110

750 Medical Ctr CT
Chula Vista, CA 91911-6634
Phone (858) 278-8110

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126050CAMDClinical Social Worker
A126050CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joel J. Smith, M.D. Inc. Orthopaedic Surgery CurrentSince Feb 1, 2019 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 1, 2016 Accepting new patients
Jeffrey M. Smith, M.D., Inc. CurrentSince Aug 10, 2016 Accepting new patients
Sharp Community Medical Group Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients

Locations

750 Medical Center Ct
Ste 6
Chula Vista, CA 91911
Phone (619) 658-2401

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

3750 Convoy St
Ste 116
San Diego, CA 92111
Phone (619) 840-8973

3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kmruby@jjsmi-ca.direct.office.nextgen.com

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.

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": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1295150365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 CONVOY ST",
            "address_2": "SUITE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113738",
            "telephone_number": "858-278-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A126050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.