Rodger Ruby, DO - Medicare Family Practice in Fremont, CA

Rodger Ruby, DO is a medicare enrolled "Family Medicine" physician in Fremont, California. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 3200 Kearney St, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (510) 490-1222.

Rodger Ruby is licensed to practice in California (license number 20A15987) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154840767.

Contact Information

Rodger Ruby, DO
3200 Kearney St,
Fremont, CA 94538-2299
(510) 490-1222
Not Available

Map and Direction




Physician's Profile

Full NameRodger Ruby
GenderMale
SpecialityFamily Practice
Experience8 Years
Location3200 Kearney St, Fremont, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Rodger Ruby graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1154840767
  • Provider Enumeration Date: 09/14/2017
  • Last Update Date: 06/04/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6305271594
  • Enrollment ID: I20200116000893

Medical Identifiers

Medical identifiers for Rodger Ruby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154840767NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 20A15987 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Bay Medical Foundation42845387782995

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rodger Ruby allows following entities to bill medicare on his behalf.
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rodger Ruby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rodger Ruby, DO
325 Distel Cir,
Los Altos, CA 94022-1408

Ph: (510) 490-1222
Rodger Ruby, DO
3200 Kearney St,
Fremont, CA 94538-2299

Ph: (510) 490-1222

Reviews and Comments


Family Medicine Doctors in Fremont, CA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.