Active NPI
Paul Ruberg
- Physician Assistant
- Fairfax, VA
National Provider Identifier
1801438536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110007711
- Practice address
- 3930 Pender Dr Ste 120
Fairfax, VA 22030-0986 - Phone
- (703) 865-8686
- NPI assigned
- Oct 15, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP01015600 | NJ | |
| Physician Assistant | 363A00000X | 0110007711 | VA | Primary |
| Physician Assistant | 363A00000X | PA9121752 | FL | |
| Physician Assistant | 363A00000X | MA067671 | PA |
Addresses
Primary practice location
3930 Pender Dr Ste 120
Fairfax, VA 22030-0986
Mailing address
3930 Pender Dr Ste 120
Fairfax, VA 22030-0986
Phone (703) 865-8686
Other practice location 1
5725 Forward Ave Ste 401
Pittsburgh, PA 15217-2255
Phone (412) 214-0042
Other practice location 2
100 High Tower Blvd Ste 200
Pittsburgh, PA 15205-1134
Phone (412) 214-0042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3930 Pender Dr
Suite 240
Fairfax, VA 22030-0986
Phone (703) 865-8686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121752 | FL | MD | Physician Assistant |
| 25MP01015600 | NJ | MD | Physician Assistant |
| MA067671 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nexus Group PC | Past | Accepting new patients |
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.
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- Pittsburgh, PA
- NPI 1295225597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1801438536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3930 PENDER DR STE 120",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300986",
"telephone_number": "703-865-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 PENDER DR STE 120",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300986",
"telephone_number": "703-865-8686"
}
],
"practiceLocations": [
{
"address_1": "5725 Forward Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152172255",
"country_code": "US",
"telephone_number": "412-214-0042",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 High Tower Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152051134",
"country_code": "US",
"telephone_number": "412-214-0042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBERG",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-15",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP01015600",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110007711",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121752",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA067671",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.