Individual provider Active NPI

Alan M. Ruben, M.D.

  • Dermatology Physician
  • Wheeling, WV
National Provider Identifier
1992790158
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
11124 Issued in WV
Practice address
2101 Chapline St
Wheeling, WV 26003-3875
Phone
(304) 232-7151
Fax
(304) 232-6128
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 11124 WV Primary

Addresses

Primary practice location

2101 Chapline St
Wheeling, WV 26003-3875

Mailing address

PO Box 894830
Lock Box 4830
Los Angeles, CA 90189-4830
Phone (304) 232-7151

Other identifiers 4

IdentifierTypeStateIssuer
126124XF4OtherPAPTAN FOR JOEL SIEGEL PRACTICE
P00654345OtherPAMEDICARE RAILROAD
P00767380OtherPARAILROAD MEDICARE
RU2030643OtherPAHIGHMARK BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11124WVMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
J Robert West, M.D., Inc Dermatology Current Accepting new patients
Ohio Valley Dermatology Associates Dermatology CurrentSince Jan 23, 2007 Accepting new patients
West Dermatology of Pennsylvania a Professional Medical Corporation Dermatology Past Accepting new patients

Locations

150 W Beau St
Ste 308
Washington, PA 15301
Phone (724) 225-1505

2101 Chapline St
Wheeling, WV 26003
Phone (304) 232-7151

1038 Market St
Wheeling, WV 26003
Phone (304) 232-4266

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1992790158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894830",
            "address_2": "LOCK BOX 4830",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "901894830",
            "telephone_number": "304-232-7151",
            "fax_number": "304-232-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 CHAPLINE ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033875",
            "telephone_number": "304-232-7151",
            "fax_number": "304-232-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "ALAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WV",
            "license": "11124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN  FOR JOEL SIEGEL PRACTICE",
            "identifier": "126124XF4",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00654345",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00767380",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "RU2030643",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.