Chantal Ruben, PA-C, MPH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.007692 Issued in IL

Practice address

5635 W Belmont Ave
Chicago, IL 60634-4384

Phone

(773) 736-1830

NPI assigned

Aug 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chantal Berry Former name

Medicare fee-for-service enrollment

Enrolled in IL, DC2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neighborhood HealthGroup PAC ID 7517853419, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chantal.ruben@nhnva.eclinicaldirectplus.com

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.

• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1154674026

  DC

  Medicare reassignment Care Compare group
• Primecare Community Health, Inc.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1558532739
  Medicare reassignment
• Primecare Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1225010911

  Multi-Specialty

  NPD
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Arlington, VA
  • NPI 1225899719

  Multi-Specialty

  NPD
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1588311492
  NPD
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1164620027
  NPD (past)
• Neighborhood Health

  • Federally Qualified Health Center (FQHC)
  • Alexandria, VA
  • NPI 1669801403
  NPD (past)

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

{
    "created_epoch": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1649827668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 W BELMONT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344384",
            "telephone_number": "773-736-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "CHANTAL",
        "credential": "PA-C, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTAL",
            "last_name": "BERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah E Ruban, C.R.N.A.
• Steven H Rube, M.D.
• Helene G Rubeiz
• Ruben a Inocencio, MD.S.C
• Alyssa Ruben
• Max Roland Ruben, MD
• Ari B Rubenfeld, M.D.
• Jeffrey Rubens, M.D.
• Sonia Lynne Rubens, PHD
• Jonathan B Rubenstein, M.D.

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.