Active NPI
Ruby M Albert, MD
- Pediatrics Physician
- Columbia, SC
National Provider Identifier
1295721009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD39267
- Practice address
- 4605 Monticello Rd
Columbia, SC 29203-4156 - Phone
- (803) 252-7001
- Fax
- (803) 252-5219
- NPI assigned
- Sep 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD39267 | TN | Primary |
Addresses
Primary practice location
4605 Monticello Rd
Columbia, SC 29203-4156
Mailing address
4605 Monticello Rd
Columbia, SC 29203-4156
Phone (803) 252-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198182 | Medicaid | SC |
Other names 1
- Miss Ruby Maniago
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 24, 2025 through Jul 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19818 | SC | MD | Registered Nurse |
| MD39267 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina Center for Intergrative Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Columbia, SC
- NPI 1669981429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1295721009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 MONTICELLO RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292034156",
"telephone_number": "803-252-7001",
"fax_number": "803-252-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 MONTICELLO RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292034156",
"telephone_number": "803-252-7001",
"fax_number": "803-252-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "RUBY",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-27",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD39267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198182",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUBY",
"last_name": "MANIAGO",
"prefix": "MISS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.