NPIMap

Individual provider Active NPI

Jonathan D. Ruby, M.D.

  • Family Medicine Physician
  • Somerset, KY
National Provider Identifier
1346395837
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40613 Issued in KY
Practice address
350 Hospital Way Ste 100
Somerset, KY 42503-1872
Phone
(606) 451-2628
Fax
(606) 451-2641
NPI assigned
Jan 24, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40613 KY Primary

Addresses

Primary practice location

350 Hospital Way Ste 100
Somerset, KY 42503-1872

Mailing address

350 Hospital Way Ste 100
Somerset, KY 42503-1872
Phone (606) 451-2628

Other identifiers 6

IdentifierTypeStateIssuer
7100010520MedicaidKY
5764646OtherCCN
000000503520OtherKYANTHEM
C92472OtherCUMBERLAND HEALTHCARE
P00423857OtherKYRAILROAD MEDICARE
1231898OtherKYCHA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000170 KY Practitioner - Family Practice 3072522515 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Langdon St
Somerset, KY 42503-2750
Phone (606) 678-9688

305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-6599

350 Hospital Way
Suite 100
Somerset, KY 42503-1872
Phone (606) 451-2600

350 Hospital Way
Suite 100
Somerset, KY 42503-1873
Phone (606) 451-2600

353 Bogle St a
Somerset, KY 42503-2889
Phone (606) 451-3820

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Hospital LLC CurrentSince Dec 1, 2006 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Memorial Hospital Inc. Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Cumberland Family Medical Center Inc Current Accepting new patients
Lake Cumberland Regional Hospital, LLC Family Medicine CurrentSince Dec 1, 2006 Accepting new patients
Cumberland Family Medical Center Inc CurrentSince Sep 11, 2018 Accepting new patients
Memorial Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Lake Cumberland Regional Hospital LLC Family Medicine Current Accepting new patients
Hanging Rock LTC, LLC Past Accepting new patients
McNairy Clinic Corp Family Medicine Past Accepting new patients
Lake Cumberland Regional Hospital LLC Past Accepting new patients

Locations

360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472

1033 N Highway 11
Manchester, KY 40962
Phone (606) 598-6163

210 Marie Langdon Dr
Manchester, KY 40962
Phone (865) 985-7047

305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994

333 Bogle St
Somerset, KY 42503
Phone (606) 678-0212

333 Bogle St
Ste 100
Somerset, KY 42503

350 Hospital Way
Ste 100
Somerset, KY 42503
Phone (606) 451-2600

353 Bogle St
Ste A
Somerset, KY 42503
Phone (606) 451-3820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jonathan.ruby.1@21269.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lake Cumberland Regional HospitalSomerset, KY, CCN 185407 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 13, 2023
Sep 13, 2023

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 7

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1346395837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY STE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031872",
            "telephone_number": "606-451-2628",
            "fax_number": "606-451-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOSPITAL WAY STE 100",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425031872",
            "telephone_number": "606-451-2628",
            "fax_number": "606-451-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "JONATHAN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-09-29",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010520",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "5764646",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503520",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CUMBERLAND HEALTHCARE",
            "identifier": "C92472",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00423857",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1231898",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.