Active NPI
David Paul Ruby, DO
- Emergency Medicine Physician
- Phoenix, AZ
National Provider Identifier
1912921917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1773
- Practice address
- 1119 E Le Marche Ave
Phoenix, AZ 85022-3136 - Phone
- (602) 795-0861
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1773 | AZ | Primary |
Addresses
Primary practice location
1119 E Le Marche Ave
Phoenix, AZ 85022-3136
Mailing address
1119 E Le Marche Ave
Phoenix, AZ 85022-3136
Phone (602) 795-0861
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K35501L | Other | AZ | AZ MEDICARE PROVIDER |
| 184771 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5171 W Olive Ave
Glendale, AZ 85302-4204
Phone (888) 732-3317
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1773 | AZ | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Valley Emergency Specialists | Emergency Medicine | Current | Accepting new patients |
| Tec Emergency Physicians of Arizona, LLC | Current | Accepting new patients | |
| Mesa General Emergency Physicians, LLC | Emergency Medicine | Past | Accepting new patients |
| Ultimate Urgent Care Centers | Past | Accepting new patients | |
| Willard Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Sjhmc Physician Services | Past | Accepting new patients |
Locations
5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540
5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555
7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100
1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300
5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780
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.
-
- Emergency Care Clinic/Center
- Gilbert, AZ
- NPI 1245772870
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1285655209
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1568473940
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1326098005
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1356547798
-
- Emergency Medicine Physician
- Cottonwood, AZ
- NPI 1598714743
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Laveen, AZ
- NPI 1154748416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192838400000",
"number": "1912921917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1119 E LE MARCHE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223136",
"telephone_number": "602-795-0861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 E LE MARCHE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850223136",
"telephone_number": "602-795-0861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "DAVID",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "1773",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ MEDICARE PROVIDER",
"identifier": "K35501L",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184771",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2007; 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.