Active NPI
Rebecca A Ruble, M.D.
- Family Medicine Physician
- Prairie Village, KS
National Provider Identifier
1972696045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-20180
- Practice address
- 7501 Mission Rd Ste 103
Prairie Village, KS 66208-4216 - Phone
- (913) 632-9880
- Fax
- (913) 632-9881
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-20180 | KS | Primary |
Addresses
Primary practice location
7501 Mission Rd Ste 103
Prairie Village, KS 66208-4216
Mailing address
7501 Mission Rd Ste 103
Prairie Village, KS 66208-4216
Phone (913) 632-9880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11456071 | Other | KS | BLUE CROSS |
| 626950 | Other | KS | FIRSTGUARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-20180 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawnee Mission Medical Center Inc | Family Medicine | Current | Accepting new patients |
| Shawnee Mission Medical Center, Inc. | Past | Accepting new patients | |
| Shawnee Mission Medical Center, Inc. | Family Medicine | Past | Accepting new patients |
| Shawnee Mission Medical Center | Past | Accepting new patients |
Locations
8804 Renner Blvd
Ste 200
Lenexa, KS 66219
Phone (913) 676-8400
8700 Bourgade St
Ste 2
Lenexa, KS 66219
Phone (913) 599-5500
7315 E Frontage Rd
Ste 206
Merriam, KS 66204
Phone (913) 789-3938
9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100
9100 W 74th St
Shawnee Msn, KS 66204
Phone (913) 632-2230
Interoperability endpoints
- rruble662058@adventhealth.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Merriam, KS
- NPI 1992735690
-
- Emergency Medical Services (Emergency Medicine) Physician
- Shawnee Mission, KS
- NPI 1598970790
-
- Radiology Clinic/Center
- Roeland Park, KS
- NPI 1578178521
-
- Urgent Care Clinic/Center
- Shawnee, KS
- NPI 1942317854
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Overland Park, KS
- NPI 1316536253
-
- General Acute Care Hospital
- Merriam, KS
- NPI 1023171634
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1972696045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 MISSION RD STE 103",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084216",
"telephone_number": "913-632-9880",
"fax_number": "913-632-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 MISSION RD STE 103",
"city": "PRAIRIE VILLAGE",
"state": "KS",
"postal_code": "662084216",
"telephone_number": "913-632-9880",
"fax_number": "913-632-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBLE",
"first_name": "REBECCA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-20180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "11456071",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "626950",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Prairie Village, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.