SAMUEL R. RUBY MD – NPI #1184626517
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

SAMUEL RUBY is a physician located in RIDLEY PARK, PA. NPPES has assigned the NPI number 1184626517 to SAMUEL RUBY on August 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Jul 14, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAMUEL RUBY below.

NPI Profile for
SAMUEL R. RUBY

NPI Number
1184626517
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAMUEL R. RUBY
Credentials
MD
Primary location
1 BARTOL AVE
SUITE 10
RIDLEY PARK, PA 19078
Phone: (610) 521-0150 Fax: (610) 521-6493
Mailing address
207 N BROAD ST FL 3
PHILADELPHIA, PA 19107-1500
Phone: (610) 521-0150 Fax: (610) 521-0567
Sole Proprietor
No
Updated
Certification Date
Jul 14, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 PA MD021993E
207R00000X
- Internal Medicine		 PA MD021993E

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY - Graduated 1976
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SAMUEL RUBY is affiliated with the following medical group(s):
  • HOSPITAL
    • CHESTER COUNTY HOSPITAL
      701 EAST MARSHALL STREET
      WEST CHESTER, PA 19380
    • CROZER CHESTER MEDICAL CENTER
      ONE MEDICAL CENTER BOULEVARD
      UPLAND, PA 19013
    • DELAWARE COUNTY MEMORIAL HOSPITAL
      501 NORTH LANSDOWNE AVE
      DREXEL HILL, PA 19026
    • RIDDLE MEMORIAL HOSPITAL
      1068 WEST BALTIMORE PIKE
      MEDIA, PA 19063

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