Ruby Jade Ibarra

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

R213758 Issued in MD

Practice address

814 Toll House Ave
Frederick, MD 21701-4519

Phone

(301) 662-8310

NPI assigned

Nov 15, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tariq Mahmood MD LLCGroup PAC ID 0042317042, 6 clinicians

Sibte a Kazmi MD LLCGroup PAC ID 4587819685, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score

24 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

80.01

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ruby.ibarra@1030390951903236.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/20487/brand/1/csg/1/fhir/r4
• Direct secure messaging: ruby.ibarra.1@20487.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DHJFBA

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.

• American Primecare & Wellness Inc

  • Adult Medicine Physician
  • Frederick, MD
  • NPI 1003786856
  Medicare reassignment NPD Authorized official
• Sibte a. Kazmi MD LLC

  • Internal Medicine Physician
  • Frederick, MD
  • NPI 1265530844
  Medicare reassignment Care Compare group NPD
• Tariq Mahmood, MD. LLC.

  • Internal Medicine Physician
  • Westminster, MD
  • NPI 1922178219
  Medicare reassignment Care Compare group NPD
• Lakeside Med, LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1073142147

  DC

  Medicare reassignment NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  Care Compare affiliation

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1720853286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 BEXHILL DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217025192",
            "telephone_number": "144-384-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 TOLL HOUSE AVE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014519",
            "telephone_number": "301-662-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "RUBY JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MD",
            "license": "R213758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Lynn Iacovelli
• Marcie Lauren Ialapi, MA, BCBA, LBA
• Amelia L Iams, MPT
• Anthony Michael Iannarino, DPT
• Elena V Iarikova, MD
• Mirzet Ibrahimovic
• Ideal Option, PLLC
• Ideal Option, PLLC
• Ideal Telemedicine Services LLC
• Aneeqa Idrees, M.D.

• Gerontology Nurse Practitioner in Frederick, MD
• Providers in Frederick, MD by specialty
• Gerontology Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.