NPIMap

Individual provider Active NPI

Elizabeth Ann Ruberg, DO

  • Family Medicine Physician
  • Moon Township, PA
National Provider Identifier
1619940988
Registry record updated Sep 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0S003738L Issued in PA
Practice address
1136 Thorn Run Rd
L
Moontownship, PA 15108
Phone
(412) 262-1160
Fax
(412) 262-1919
NPI assigned
Feb 8, 2006
Last updated
Sep 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2015

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 0S003738L PA Primary

Addresses

Primary practice location

1136 Thorn Run Rd
L
Moontownship, PA 15108

Mailing address

1136 Thorn Run Rd
L
Moon Township, PA 15108-4301
Phone (412) 262-1160

Other identifiers 1

IdentifierTypeStateIssuer
1748900MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050426000514 PA Practitioner - Family Practice 0547209942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0S003738LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Dec 19, 2013 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Family Medicine CurrentSince Dec 19, 2013 Accepting new patients
Dr. Elizabeth Ann Ruberg PC Family Medicine CurrentSince Jul 1, 1999 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients
Heritage Valley Medical Group, Inc. Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

1136 Thorn Run Road Ext
Moon Twp, PA 15108
Phone (412) 262-1160

1136 Thorn Run Road Ext
Ste L
Moon Twp, PA 15108
Phone (412) 262-1160

Interoperability endpoints

  • Direct secure messaging: elizabethannruberg@hvhs.allscriptsdirect.net

Organizations & group practices 6

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 12

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1619940988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 THORN RUN RD",
            "address_2": "L",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084301",
            "telephone_number": "412-262-1160",
            "fax_number": "412-262-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 THORN RUN RD",
            "address_2": "L",
            "city": "MOONTOWNSHIP",
            "state": "PA",
            "postal_code": "15108",
            "telephone_number": "412-262-1160",
            "fax_number": "412-262-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERG",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "0S003738L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748900",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.