RUBY KAUR GROVER (PA-C) – Physician Assistant, NPI 1093167322

RUBY KAUR GROVER (PA-C) is a healthcare provider. based in Libertyville, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 085.005874 (IL). The NPI Number for RUBY KAUR GROVER (PA-C) is 1093167322

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
RUBY KAUR GROVER (PA-C)
NPI
1093167322
Phone
(414) 290-6720
Address
801 S Milwaukee Ave
Enumeration Date
11 July 2016
Last Update Date
26 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084561600
Graduation Year
2016 (10 years ago)
PAC ID
0143515098
Group Practice PAC ID
8729064159
Professional Enrollment ID
I20160817001471
Address ID
IL607062901NO4900XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for RUBY KAUR GROVER (PA-C)

  • 801 S Milwaukee Ave

    Libertyville, IL 600483204

    Phone: (414) 290-6720

    Fax: (414) 290-6755

    Type: Location

  • 3871, Melody Street, Mundelein, Lake County, Illinois, 60060, United States

    MUNDELEIN, IL 600606014

    Phone: (224) 456-7555

    Type: Mailing

  • 4900, North Cumberland Avenue, O'Hare, Norridge, Leyden Township, Cook County, Illinois, 60706, United States

    NORRIDGE, IL 60706

    Phone: (708) 456-1600

    Fax: (708) 456-2809

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160817001471IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes123116$0
99203New patient office or other outpatient visit, 30-44 minutes7474$0
99214Established patient office or other outpatient visit, 30-39 minutes4746$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2624$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 60048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729064159View full group profile
NameSpecialtyState
Physician AssistantIL
-IL
-IL
Physician AssistantMI
Physician AssistantIL
-NY
Physician AssistantIL
Nurse PractitionerIL
Physician AssistantMI
-IL

Reviews

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Frequently asked questions

Can I cross-check RUBY KAUR GROVER (PA-C) using NPI 1093167322?
NPI 1093167322 belongs to RUBY KAUR GROVER (PA-C); compare other details if you need extra assurance.
Is RUBY KAUR GROVER (PA-C) still an active registrant?
RUBY KAUR GROVER (PA-C) carries an active NPI according to the public dataset.
What clinical focus is listed for RUBY KAUR GROVER (PA-C)?
At a glance, RUBY KAUR GROVER (PA-C) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Illinois is RUBY KAUR GROVER (PA-C) registered?
Use Libertyville, Illinois as the headline location for RUBY KAUR GROVER (PA-C) here.
When was this NPI issued?
Enumeration for RUBY KAUR GROVER (PA-C) is noted as July 11, 2016 where the registry provides it.

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