Active NPI
Leslie Ann Ruybal, M.D.
- Neonatal-Perinatal Medicine Physician
- Billings, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 66810
- Practice address
- 1233 N 30TH St
Billings, MT 59101 - Phone
- (406) 237-7076
- NPI assigned
- May 31, 2012
- Last updated
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6723 | NE | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 9324739-1205 | UT | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 66810 | MT | Primary |
Addresses
Primary practice location
1233 N 30TH St
Billings, MT 59101
Mailing address
1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 237-7076
Other practice location 1
University of Utah
295 Chipeta Way
Salt Lake City, UT 84108
Phone (720) 299-5787
Other practice location 2
982165 Nebraska Medical Ctr
Omaha, NE 68198-2165
Phone (402) 559-5380
Other practice location 3
University of Utah
295 Chipeta Way
Salt Lake City, UT 84108
Phone (720) 299-5787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6723 | Other | NE | TEMPORARY EDUCATION PERMIT |
| 9324739-1205 | Other | UT | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66810 | MT | MD | Neonatal-Perinatal Medicine Physician |
| 9324739-1205 | UT | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Health | Past | Accepting new patients | |
| North Colorado Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
-
- General Acute Care Hospital
- Greeley, CO
- NPI 1720004450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1457612921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1233 N 30TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010127",
"telephone_number": "406-237-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1233 N 30TH ST",
"city": "BILLINGS",
"state": "MT",
"postal_code": "59101",
"telephone_number": "406-237-7076"
}
],
"practiceLocations": [
{
"address_1": "University of Utah",
"address_2": "295 Chipeta Way",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84108",
"country_code": "US",
"telephone_number": "720-299-5787",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "982165 Nebraska Medical Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681982165",
"country_code": "US",
"telephone_number": "402-559-5380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "University of Utah",
"address_2": "295 Chipeta Way",
"address_purpose": "LOCATION",
"city": "Salt Lake City",
"state": "UT",
"postal_code": "84108",
"country_code": "US",
"telephone_number": "720-299-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUYBAL",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-31",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "6723",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "UT",
"license": "9324739-1205",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MT",
"license": "66810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPORARY EDUCATION PERMIT",
"identifier": "6723",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "9324739-1205",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.