NPIMap

Individual provider Active NPI

Sharon Evonne Ruch, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1619174307
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12553 Issued in NV
Practice address
10620 Southern Highlands Parkway
Ste 110-155
Las Vegas, NV 89141
Phone
(702) 754-5421
Fax
(775) 312-2857
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12553 NV Primary

Addresses

Primary practice location

10620 Southern Highlands Parkway
Ste 110-155
Las Vegas, NV 89141

Mailing address

10620 S Highlands Pky
Ste 110 155
Las Vegas, NV 89141
Phone (702) 754-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080122000025 NV Practitioner - Family Practice 9133200785 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mt Grant General Hospital 15 clinicians

Practice addresses (Care Compare)

10620 S Highlands Pky
Suite 110 155
Las Vegas, NV 89141
Phone (702) 754-5421

200 S a St
Hawthorne, NV 89415-1510
Phone (775) 945-2461

Hospital & facility affiliations

  • Accelerated Home Health Care, LLC Home health agency, Las Vegas, NV, CCN 297223
  • Saint Mary'S Home Health Care, Inc Home health agency, Las Vegas, NV, CCN 297132
  • In House Home Health Inc. Home health agency, Las Vegas, NV, CCN 297032
  • Mt Carmel Home Health LLC Home health agency, Las Vegas, NV, CCN 297352
  • Las Vegas Home Health Care, Inc Home health agency, Las Vegas, NV, CCN 297168
  • Mount Grant General Hospital Hospital, Hawthorne, NV, CCN 291300
  • Banner Churchill Community Hospital Hospital, Fallon, NV, CCN 291313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12553NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon E Ruch MD PLLC Family Medicine CurrentSince Jan 7, 2016 Accepting new patients
Prime Healthcare Services - Reno LLC Past Accepting new patients
Mt Grant General Hospital Past Accepting new patients
Northstar Imaging Inc Past Accepting new patients
Medinix Medical Services Singh PLLC Family Medicine PastSince Mar 29, 2023 Accepting new patients

Locations

23141 Verdugo Dr
Ste 201
Laguna Hills, CA 92653
Phone (310) 922-2537

10620 Southern Highlands Pkwy
Ste 110
Las Vegas, NV 89141
Phone (702) 210-9560

10620 Southern Highlands Pkwy
Ste 110155
Las Vegas, NV 89141
Phone (702) 754-5421

Interoperability endpoints

  • Direct secure messaging: sharon.ruch.1@11938.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mt Grant General HospitalHawthorne, NV, CCN 29Z300 Hospital Corporate Director
W-2 Managing Employee		 Jul 1, 2021
Jul 1, 2022
Lefa L Seran SNF Mt GrantHawthorne, NV, CCN 295001 Skilled nursing facility Corporate Director
Operational/Managerial Control
Adp of the SNF		 Jul 1, 2021
Jul 1, 2021
Jul 1, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1619174307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10620 S HIGHLANDS PKY",
            "address_2": "STE 110 155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "702-754-5421",
            "fax_number": "775-312-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SOUTHERN HIGHLANDS PARKWAY",
            "address_2": "STE 110-155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89141",
            "telephone_number": "702-754-5421",
            "fax_number": "775-312-2857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "SHARON",
        "middle_name": "EVONNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "12553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.