Individual provider Active NPI

Jason Robert Ruberg

  • Physician Assistant
  • Cincinnati, OH
National Provider Identifier
1689044372
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8099 Cornell Rd
Cincinnati, OH 45249-2231
Phone
(513) 793-3933
Fax
(513) 793-8299
NPI assigned
Oct 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8099 Cornell Rd
Cincinnati, OH 45249-2231

Mailing address

560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200402001521 OH Practitioner - Physician Assistant 9830499730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Children'S Hospital Medical CenterGroup PAC ID 8426955733, 716 clinicians

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Physician Assistant CurrentSince Mar 13, 2022 Accepting new patients
Anderson Hills Pediatrics Inc Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Englender Sper & Drasnin, M.D.'S Inc Past Accepting new patients
Orthocincy Orthopaedics & Sports Medicine PSC Physician Assistant Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

4315 Ivy Pointe Blvd
Cincinnati, OH 45245
Phone (513) 636-0030

2123 Auburn Ave
Ste 630
Cincinnati, OH 45219
Phone (513) 585-1970

7495 State Rd
Ste 355
Cincinnati, OH 45255
Phone (513) 636-6100

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

5899 Harrison Ave
#6011
Cincinnati, OH 45248
Phone (513) 803-8200

3050 Mack Rd
Fairfield, OH 45014
Phone (513) 557-7718

7777 Yankee Rd
Liberty Township, OH 45044
Phone (513) 803-9600

9560 Children Dr
Mason, OH 45040
Phone (513) 636-6800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22771/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/1200/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1689044372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405",
            "telephone_number": "859-301-2663",
            "fax_number": "859-817-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8099 CORNELL RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492231",
            "telephone_number": "513-793-3933",
            "fax_number": "513-793-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERG",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-07",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.