NPIMap

Individual provider Active NPI

Craig Richard Ruble, M.D.

  • Orthopaedic Surgery Physician
  • Festus, MO
National Provider Identifier
1467402867
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2002008842 Issued in MO
Practice address
1390 Highway 61
JHM Moc Suite G1000
Festus, MO 63028-4137
Phone
(636) 933-7400
Fax
(636) 933-7403
NPI assigned
May 10, 2006
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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 2002008842 MO Primary

Addresses

Primary practice location

1390 Highway 61
JHM Moc Suite G1000
Festus, MO 63028-4137

Mailing address

12639 Old Tesson Rd
Suite 115
Saint Louis, MO 63128-2786
Phone (314) 849-0311

Other identifiers 7

IdentifierTypeStateIssuer
0901515OtherMOUNITED HEALTHCARE
185342OtherMOBLUE CROSS BLUE SHIELD
7075347OtherMOAETNA
482186OtherMOHEALTHLINK
189058OtherMOGROUP HEALTH PLAN
206023715MedicaidMO
P00065237OtherMORAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address craig.ruble@direct.signature.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040405000305 MO Practitioner - Orthopedic Surgery 2062405376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 25200
Saint Louis, MO 63128-2106
Phone (314) 525-4440

1390 US Hwy 61
Suite G1000
Festus, MO 63028-4136
Phone (636) 933-7400

1390 US Hwy 61
Suite N1500
Festus, MO 63028-4137
Phone (636) 717-6720

621 S New Ballas Rd
Suite 3005B
Saint Louis, MO 63141-8266
Phone (314) 567-5850

851 E 5TH St
Suite 108
Washington, MO 63090-3128
Phone (636) 861-7870

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement11
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)32
Upper limb (arm) arthroscopy (minimally invasive joint repair)58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2002008842MOMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Feb 1, 2021 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste. Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital Orthopaedic Surgery CurrentSince Apr 1, 2016 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Institute for Bone and Joint Disorders PC Orthopaedic Surgery Past Accepting new patients
Suburban Foot Care LTD Past Accepting new patients
Mercy Hospital Jefferson Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

1390 US Highway 61
Ste G1000
Crystal Cty, MO 63028
Phone (636) 933-7400

606 Maple Valley Dr
Farmington, MO 63640
Phone (573) 756-7779

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Organizations & group practices 9

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 8

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1467402867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 115",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "314-849-0311",
            "fax_number": "314-849-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 HIGHWAY 61",
            "address_2": "JHM MOC SUITE G1000",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-7400",
            "fax_number": "636-933-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLE",
        "first_name": "CRAIG",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "2002008842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0901515",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "185342",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7075347",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "482186",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "189058",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "206023715",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00065237",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "craig.ruble@direct.signature.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1390 Highway 61",
            "address_2": "JHM MOC Suite G1000",
            "city": "Festus",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630284137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.