Individual provider Active NPI

Alan Joel Ruby, MD

  • Ophthalmology Physician
  • Royal Oak, MI
National Provider Identifier
1801828025
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301051388 Issued in MI
Practice address
3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710
Phone
(248) 288-2280
Fax
(248) 288-5644
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 4301051388 MI Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 4301051388 MI

Addresses

Primary practice location

3555 W 13 Mile Rd
LL-20
Royal Oak, MI 48073-6710

Mailing address

2000 N Huron River Dr Ste 100200
Ypsilanti, MI 48197-1699
Phone (734) 572-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000554 MI Practitioner - Ophthalmology 1355253857 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retinal Consultants PCGroup PAC ID 2264344746, 30 clinicians

Practice addresses (Care Compare)

3555 W 13 Mile Rd
Royal Oak, MI 48073-6710
Phone (248) 288-2280

36650 Five Mile Rd
Suite 102
Livonia, MI 48154-1956
Phone (734) 464-2300

860 E Front St
Traverse City, MI 49686-2704
Phone (231) 938-0710

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Mar 15, 2020 Accepting new patients
Associated Retinal Consultants, PC Ophthalmology Past Accepting new patients
John a. Vollmer, MD, PC Past Accepting new patients
Alliance Physicians Inc Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

44405 Woodward Ave
Ste H
Pontiac, MI 48341

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

3535 W 13 Mile Rd
Ste 555
Royal Oak, MI 48073
Phone (248) 551-2020

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: aruby1253709@epic00.shdirect.org
  • Direct secure messaging: aruby@arcmi.intellechartdirect.net

Organizations & group practices 6

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1801828025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 N HURON RIVER DR STE 100200",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971699",
            "telephone_number": "734-572-1200",
            "fax_number": "734-572-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 W 13 MILE RD",
            "address_2": "LL-20",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-288-2280",
            "fax_number": "248-288-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "ALAN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301051388",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MI",
            "license": "4301051388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.