Individual provider Active NPI

Sara A Ruby, ACNP

  • Acute Care Nurse Practitioner
  • Hamilton, OH
National Provider Identifier
1801112792
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA11528-NP Issued in OH
Practice address
10 Office Park Drive
Suite B
Hamilton, OH 45013-1585
Phone
(513) 893-5864
Fax
(513) 893-5865
NPI assigned
Apr 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN318517 OH
Nurse Practitioner 363L00000X COA.11528-NP OH
Acute Care Nurse Practitioner 363LA2100X COA11528-NP OH Primary

Addresses

Primary practice location

10 Office Park Drive
Suite B
Hamilton, OH 45013-1585

Mailing address

10 Office Park Drive
Suite B
Hamilton, OH 45013-1585
Phone (513) 893-5864

Other identifiers 1

IdentifierTypeStateIssuer
3087538MedicaidOH

Other names 1

  • Ms. Sara A Braswell Former name

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
I20100810000520 OH Practitioner - Nurse Practitioner 7810021037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medicine Inpatient Group LLCGroup PAC ID 3577645340, 39 clinicians

Practice addresses (Care Compare)

630 Eaton Ave
Hamilton, OH 45013-2767
Phone (513) 867-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
57.66 of 100Reported as group
Quality
47.87
Promoting interoperability
0
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN318517OHMDCritical Care Medicine Registered Nurse
COA.11528-NPOHMDNurse Practitioner
COA11528-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
Medicine Inpatient Group, LLC Nurse Practitioner CurrentSince Jun 1, 2019 Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

6730 Roosevelt Ave
Ste 303
Middletown, OH 45005
Phone (513) 618-7430

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1271376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1801112792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 OFFICE PARK DRIVE",
            "address_2": "SUITE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131585",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 OFFICE PARK DRIVE",
            "address_2": "SUITE B",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450131585",
            "telephone_number": "513-893-5864",
            "fax_number": "513-893-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "SARA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-16",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "RN318517",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.11528-NP",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA11528-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3087538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "BRASWELL",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.