Individual provider Active NPI

Ruby Khanna, DC

  • Chiropractor
  • Algonquin, IL
National Provider Identifier
1629087226
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010369 Issued in IL
Practice address
2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500
Phone
(224) 333-3424
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010369 IL Primary

Addresses

Primary practice location

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500

Mailing address

2430 Esplanade Dr
Suite B
Algonquin, IL 60102-5500
Phone (224) 333-3424

Other identifiers 1

IdentifierTypeStateIssuer
038-010369OtherILLICENSE

Other names 1

  • Ruby Sharma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060906000502 IL Practitioner - Chiropractic 3375547318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010369ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Algonquin Family Chiropractic LTD. Chiropractor CurrentSince Sep 12, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 7, 2006 Accepting new patients
Dermatology Specialists of Illinois, LTD CurrentSince Sep 12, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 7, 2006 Accepting new patients

Locations

2430 Esplanade Dr
Ste B
Algonquin, IL 60102
Phone (224) 333-3424

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1629087226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR",
            "address_2": "SUITE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025500",
            "telephone_number": "224-333-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 ESPLANADE DR",
            "address_2": "SUITE B",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025500",
            "telephone_number": "224-333-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHANNA",
        "first_name": "RUBY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "038-010369",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBY",
            "last_name": "SHARMA",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.