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JAROM LUCAS RUBY DO
NPI 1801542600
General Practice in Bolling Afb, DC

Active since March 01, 2022PECOS Enrolled
238 BROOKLEY AVE SW, BOLLING AFB, DC 20032(202) 404-5865 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2024, May 9, 2022, Mar 1, 2022 (3 updates tracked since 2022).

About Jarom Lucas Ruby Do NPPES

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

JAROM LUCAS RUBY DO (NPI 1801542600) is an individual general practice provider in Bolling Afb, District Of Columbia, licensed in Nebraska (2851) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801542600
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJAROM LUCAS RUBYCredential: DO
Location Address238 BROOKLEY AVE SWBolling Afb, DC 20032-7704
Mailing Address238 Brookley Ave SwBolling Afb, DC 20032-7704
Phone(202) 404-5865
Sole ProprietorNo
Enumeration DateMarch 1, 2022
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1801542600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NE · 2851
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

238 BROOKLEY AVE SW, Bolling Afb, DC 20032
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jarom Lucas Ruby Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

ELIZABETH MARIA REYNA
Military Health Care Provider (Independent Duty Medical Technicians)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 404-5512
MICHELLE SCHULDT NURSE PRACTITIONER
Nurse Practitioner (Family)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (757) 329-2296
DR. DANNON WAYNE SUTHERLAND D.M.D
Dentist
238 BROOKLEY AVE SW, JOINT BASE ANACOSTIA
BOLLING AFB, DC 20032
District of Columbia (202) 767-5382
DR. CRYSTAL ALMETA BROWN-SCOTT
Pharmacist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (022) 404-7742
DR. TAMMY KNAPP HEISEY DMD
Dentist (General Practice)
238 BROOKLEY AVE SW, 579TH MDG/SGHC
BOLLING AFB, DC 20032
District of Columbia (202) 404-3603
DR. DARREN P. RHOTON O.D.
Optometrist
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 404-6425
MS. MARISSA KOCH WHNP, RNC
Nurse Practitioner (Women's Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (703) 681-6196
DR. JEREMY COOPER NP
Nurse Practitioner (Psychiatric/Mental Health)
238 BROOKLEY AVE SW
BOLLING AFB, DC 20032
District of Columbia (202) 767-0611

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 Jarom Ruby's NPI number?

The NPI number for Jarom Ruby is 1801542600. It was assigned to this individual provider in the NPPES registry on March 1, 2022.

Where is Jarom Ruby located?

Jarom Ruby practices at 238 Brookley Ave SW, Bolling Afb, DC 20032. The listed phone number is (202) 404-5865.

What is Jarom Ruby's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jarom Ruby enrolled in Medicare?

Yes. Jarom Ruby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jarom Ruby was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.