Individual provider Active NPI

Joseph Ruberwa

  • Nephrology Physician
  • Raleigh, NC
National Provider Identifier
1508360215
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2021-01330 Issued in NC
Practice address
3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Phone
(919) 231-3966
Fax
(919) 231-3912
NPI assigned
Mar 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2021-01330 NC
Nephrology Physician 207RN0300X 2021-01330 NC Primary

Addresses

Primary practice location

3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172

Mailing address

3700 Barrett Dr Ste 200
Raleigh, NC 27609-7172
Phone (919) 231-3966

Other practice location 1

1559 E Booker Dairy Rd Ste B
Smithfield, NC 27577-9442
Phone (919) 876-7807

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncnephrologyassociates@directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220406001644 NC Practitioner - Internal MedicinePractitioner - Nephrology 4587073598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Carolina Nephrology PAGroup PAC ID 0244511483, 58 clinicians

Practice addresses (Care Compare)

1559 E Booker Dairy Rd
Suite B
Smithfield, NC 27577-9442
Phone (919) 876-7807

Hospital & facility affiliations

  • FMC Bma of Zebulon Inc Dialysis facility, Zebulon, NC, CCN 342589
  • FMC - Raleigh Dialysis Clinic Inc Dialysis facility, Raleigh, NC, CCN 342512
  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Johnston Health Hospital, Smithfield, NC, CCN 340090
  • Rex Hospital Hospital, Raleigh, NC, CCN 340114
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021-01330NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Nephrology PA Nephrology CurrentSince Aug 7, 2023 Accepting new patients
North Carolina Nephrology PA Nephrology CurrentSince Aug 7, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Dec 28, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Dec 28, 2021 Accepting new patients

Locations

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

3700 Barrett Dr
Ste 200
Raleigh, NC 27609
Phone 91923139662244

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

3031 New Bern Ave
Ste 200
Raleigh, NC 27610
Phone (919) 747-7820

1559 E Booker Dairy Rd
Ste B
Smithfield, NC 27577

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Interoperability endpoints

  • Direct secure messaging: joseph.ruberwa.p123@direct.aac.nextgenshare.com
  • Direct secure messaging: jruberwa554569@direct.medicine.duke.edu
  • Direct secure messaging: jruberwa51747@direct.acumenmd.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 and National Provider Directory roles.

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508360215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BARRETT DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097172",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 BARRETT DR STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097172",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1559 E Booker Dairy Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275779442",
            "country_code": "US",
            "telephone_number": "919-876-7807",
            "fax_number": "919-876-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBERWA",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2021-01330",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2021-01330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncnephrologyassociates@directaddress.net",
            "affiliation": "N",
            "address_1": "3700 Barrett Dr Ste 200",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276097172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.