SAMUEL R RUBY MD
NPI 1184626517
Internal Medicine - Cardiovascular Disease in Ridley Park, PA

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment
1 BARTOL AVE, SUITE 10, RIDLEY PARK, PA 19078(610) 521-0150(610) 521-6493 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, May 23, 2018, Feb 15, 2017 (3 updates tracked since 2017).

About Samuel R Ruby Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL R RUBY MD (NPI 1184626517) is an individual cardiovascular disease provider in Ridley Park, Pennsylvania, licensed in Pennsylvania (MD021993E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Main Line Hospital Lankenau, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1976).

NPPES Registry Identity

NPI1184626517
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSAMUEL R RUBYCredential: MD
Location Address1 BARTOL AVE, SUITE 10Ridley Park, PA 19078
Mailing Address207 N Broad St Fl 3Philadelphia, PA 19107-1500 · (610) 521-0150 · Fax (610) 521-0567
Fax(610) 521-6493
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1976
Enumeration DateAugust 15, 2005
Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration
NPPES CertifiedJuly 14, 2023
NPI 1184626517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD021993E
Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD021993E (PA)
1 BARTOL AVE, Ridley Park, PA 19078

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel R Ruby Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113811282
PECOS Enrollment IDI20050106000256
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
911 services507 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
711 services447 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
387 services295 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
193 services144 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
141 services140 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
64 services62 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1 BARTOL AVE, SUITE 10
RIDLEY PARK, PA 19078
Internal Medicine
1 BARTOL AVE, SUITE 103
RIDLEY PARK, PA 19078
Orthopaedic Surgery (Hand Surgery)
1 BARTOL AVE, SUITE 100
RIDLEY PARK, PA 19078
Orthopaedic Surgery
1 BARTOL AVE, SUITE 100
RIDLEY PARK, PA 19078
Orthopaedic Surgery
1 BARTOL AVE, STE 100
RIDLEY PARK, PA 19078
Urology
1 BARTOL AVE, SUITE 15
RIDLEY PARK, PA 19078
Physician Assistant
1 BARTOL AVE, SUITE 10
RIDLEY PARK, PA 19078
Internal Medicine (Cardiovascular Disease)
1 BARTOL AVE, SUITE 10
RIDLEY PARK, PA 19078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Ruby's NPI number?

The NPI number for Samuel Ruby is 1184626517. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Where is Samuel Ruby located?

Samuel Ruby practices at 1 Bartol Ave Suite 10, Ridley Park, PA 19078. The listed phone number is (610) 521-0150.

What is Samuel Ruby's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samuel Ruby enrolled in Medicare?

Yes. Samuel Ruby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Ruby accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Highmark Blue Cross Blue Shield Delaware list Samuel Ruby as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Samuel Ruby affiliated with any hospitals?

According to CMS data, Samuel Ruby is affiliated with Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Ruby was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.