Individual provider Active NPI

Brian Ruby

  • Medical Physician Assistant
  • Rostraver TWP, PA
National Provider Identifier
1598281149
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA062229 Issued in NU
Practice address
800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019
Phone
(724) 379-5802
NPI assigned
Aug 16, 2017
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X MA062229 NU Primary

Addresses

Primary practice location

800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019

Mailing address

800 Plaza Dr Ste 400
Rostraver TWP, PA 15012-4019
Phone (724) 379-5802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210209001785 PA Practitioner - Physician Assistant 0840565784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monvale Orthopedics IncGroup PAC ID 3173518529, 10 clinicians
Monongahela Valley Hospital IncGroup PAC ID 0143117606, shared by 6 NPIs, 41 clinicians

Practice addresses (Care Compare)

1145 Bower Hill Rd
Suite 301
Pittsburgh, PA 15243-1348
Phone (412) 276-7022

1163 Country Club Rd
Monongahela, PA 15063-1013

800 Plaza Dr
Suite 400
Rostraver Township, PA 15012-4019
Phone (724) 379-5802

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mon Vale Orthopedic Group, Inc. CurrentSince Jan 4, 2021 Accepting new patients
Monvale Orthopedics, Inc. CurrentSince Jan 4, 2021 Accepting new patients

Locations

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1145 Bower Hill Rd
Ste 301
Pittsburgh, PA 15243
Phone (412) 276-7022

800 Plaza Dr
Fl 4
Rostraver Township, PA 15012

800 Plaza Dr
Ste 400
Rostraver Township, PA 15012
Phone (724) 379-5802

Interoperability endpoints

  • Direct secure messaging: brian.ruby@mvpcpi.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1598281149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PLAZA DR STE 400",
            "city": "ROSTRAVER TWP",
            "state": "PA",
            "postal_code": "150124019",
            "telephone_number": "724-379-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": "MA062229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rostraver TWP, PA

Sources for this page

Verify at the official NPI Registry.