Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ruby Jade Ibarra

Individual provider Gerontology Nurse Practitioner · NPI 1720853286

Ruby Jade Ibarra is a Nurse Practitioner in Frederick, Maryland. Qualified in 2023, 3 years ago. Practices with Tariq Mahmood MD LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
3
Licensed in
MD
In the registry since
2023

Practice location Address checks out

814 Toll House Ave
Frederick, MD 21701-4519
Phone: (301) 662-8310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence R213758 (MD)

Record details

NPI number1720853286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 15, 2023
Last updated in NPPESNovember 15, 2023
Certification dateOctober 30, 2023
Mailing address1009 Bexhill Dr, Frederick, MD 21702-5192

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Tariq Mahmood Md Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Frederick