Active NPI
Ruba M Sarsour, D.O.
- Nephrology Physician
- Scottsbluff, NE
National Provider Identifier
1558628743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2070
- Practice address
- 3911 Avenue B Ste 1100
Scottsbluff, NE 69361 - Phone
- (308) 630-2100
- Fax
- (308) 630-2138
- NPI assigned
- Apr 12, 2012
- Last updated
- Aug 13, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2017-01687 | NC | |
| Nephrology Physician | 207RN0300X | 2070 | NE | Primary |
Addresses
Primary practice location
3911 Avenue B Ste 1100
Scottsbluff, NE 69361
Mailing address
3911 Avenue B Ste 1100
Scottsbluff, NE 69361-4617
Phone (308) 630-2100
Other practice location 1
2355 W Arlington Blvd
Greenville, NC 27834-2847
Phone (252) 744-2545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3911 Ave B
Scottsbluff, NE 69361-4617
Phone (308) 630-2100
Hospital & facility affiliations
- DaVita Scottsbluff Dialysis Center
- Morrill County Community Hospital
- Regional West Medical Center
- Box Butte General Hospital
- Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.07 of 100
- Quality
- 62.54
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017-01687 | NC | MD | Nephrology Physician |
| 2070 | NE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional West Physicians Clinic | Current | Accepting new patients | |
| Regional West Physicians Clinic | Past | Accepting new patients |
Locations
3911 Avenue B
Ste 1100
Scottsbluff, NE 69361
Phone (308) 630-1355
3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355
Interoperability endpoints
- rubasarsour@mcch.medalliesdirect.net
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.
-
- Family Medicine Physician
- Scottsbluff, NE
- NPI 1306910534
-
- Rural Health Clinic/Center
- Mitchell, NE
- NPI 1992703425
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Scottsbluff Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Scottsbluff, NE
- NPI 1821050295
Dialysis facility
-
- Critical Access Hospital
- Alliance, NE
- NPI 1811929060
-
- Critical Access Hospital
- Bridgeport, NE
- NPI 1609816149
-
- General Acute Care Hospital
- Scottsbluff, NE
- NPI 1639101199
-
- Critical Access Hospital
- Torrington, WY
- NPI 1669410643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565654400000",
"number": "1558628743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 AVENUE B STE 1100",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693614617",
"telephone_number": "308-630-2100",
"fax_number": "308-630-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 AVENUE B STE 1100",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "69361",
"telephone_number": "308-630-2100",
"fax_number": "308-630-2138"
}
],
"practiceLocations": [
{
"address_1": "2355 W Arlington Blvd",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278342847",
"country_code": "US",
"telephone_number": "252-744-2545",
"fax_number": "252-744-1817",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARSOUR",
"first_name": "RUBA",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-12",
"last_updated": "2019-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2017-01687",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NE",
"license": "2070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsbluff, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.