Individual provider Active NPI

Rujin Ju, M.D.

  • Obstetrics & Gynecology Physician
  • Centerville, OH
National Provider Identifier
1619287570
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35.136858 Issued in OH
Practice address
7740 Washington Village Dr Ste 160
Centerville, OH 45459-4056
Phone
(937) 436-9825
Fax
(937) 433-6508
NPI assigned
Oct 13, 2010
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2011-00445 NC
Obstetrics & Gynecology Physician 207V00000X 35.136858 OH Primary

Addresses

Primary practice location

7740 Washington Village Dr Ste 160
Centerville, OH 45459-4056

Mailing address

7740 Washington Village Dr Ste 160
Centerville, OH 45459-4056
Phone (937) 436-9825

Other identifiers 1

IdentifierTypeStateIssuer
0366043MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rju668516@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: rju668516@direct.ketteringhealth.org
  • Direct secure messaging: rjumd353367@carlehiedirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1619287570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 160",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594056",
            "telephone_number": "937-436-9825",
            "fax_number": "937-433-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 WASHINGTON VILLAGE DR STE 160",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594056",
            "telephone_number": "937-436-9825",
            "fax_number": "937-433-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JU",
        "first_name": "RUJIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2011-00445",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35.136858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366043",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rju668516@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 160",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7740 Washington Village Dr Ste 160",
            "city": "Centerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454594056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.