MRS. RUBY KHANAL NP
NPI 1528550928
Nurse Practitioner - Family in Tracy, CA

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment
1420 N TRACY BLVD, TRACY, CA 95376(209) 835-1500 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Ruby Khanal Np NPPES

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

MRS. RUBY KHANAL NP (NPI 1528550928) is an individual family provider in Tracy, California, licensed in California (95009052) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1528550928
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. RUBY KHANALCredential: NP
Location Address1420 N TRACY BLVDTracy, CA 95376-3451
Mailing Address4875 Willow Rd Apt 202Pleasanton, CA 94588-4492 · (315) 706-8864
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 25, 2022
✔ NPI 1528550928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95009052
1420 N TRACY BLVD, Tracy, CA 95376

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ruby Khanal Np 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 ID446504864
PECOS Enrollment IDI20181120003102
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ruby Khanal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1420 N TRACY BLVD, EMERGENCY DEPT
Tracy, CA 95376
  • Reassigned Medicare billing, California enrollment
  • 57 clinicians in this Medicare group
Health Maintenance Organization
9100 ROSEDALE HWY
Bakersfield, CA 93312
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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.

General Acute Care Hospital
1420 N TRACY BLVD
TRACY, CA 95376
Speech-Language Pathologist
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD, S3CVO
TRACY, CA 95376
Clinical Medical Laboratory
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
Nurse Practitioner (Family)
1420 N TRACY BLVD
TRACY, CA 95376
Emergency Medicine
1420 N TRACY BLVD, EMERGENCY DEPT
TRACY, CA 95376
Physician Assistant
1420 N TRACY BLVD
TRACY, CA 95376

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 Ruby Khanal's NPI number?

The NPI number for Ruby Khanal is 1528550928. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is Ruby Khanal located?

Ruby Khanal practices at 1420 N Tracy Blvd, Tracy, CA 95376. The listed phone number is (209) 835-1500.

What is Ruby Khanal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ruby Khanal enrolled in Medicare?

Yes. Ruby Khanal 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.

Which organizations bill Medicare for Ruby Khanal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruby Khanal reassigns Medicare benefits to 2 organizations: Altamont Emergency Physicians Medical Group Inc (Tracy, CA) and Southern California Permanente Medical Group (Bakersfield, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ruby Khanal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ruby Khanal was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.