Individual provider Active NPI

Mark I Rubinstein, M.D.

  • Otolaryngology Physician
  • Fairfax, VA
National Provider Identifier
1003871971
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101043630 Issued in VA
Practice address
8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207
Phone
(703) 573-7600
Fax
(703) 560-3808
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 010143630 VA
Otolaryngology Physician 207Y00000X 0101043630 VA Primary
Facial Plastic Surgery Physician 207YS0123X 0101043630 VA
Otolaryngic Allergy Physician 207YX0602X 0101043630 VA

Addresses

Primary practice location

8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207

Mailing address

8316 Arlington Blvd
Suite 300
Fairfax, VA 22031-5207
Phone (703) 573-7600

Other identifiers 3

IdentifierTypeStateIssuer
0005OtherCAREFIRST ID
0101043630OtherVALICENSE #
006524141MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080922000378 DC Practitioner - Otolaryngology 3971686593 Reassigns benefits to 2 organizations
I20140505001324 VA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 3971686593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Otolaryngology Associates PCGroup PAC ID 8022188069, 31 clinicians

Practice addresses (Care Compare)

3801 University Dr
Fairfax, VA 22030-2503
Phone (703) 383-8130

Hospital & facility affiliations

  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101043630VAMDFacial Plastic Surgery Physician
010143630VAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jul 28, 2020 Accepting new patients
Otolaryngology Associates, PC Otolaryngology CurrentSince Aug 24, 1989 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients

Locations

24805 Pinebrook Rd
Ste 201
Chantilly, VA 20152
Phone (703) 327-4900

3801 University Dr
Fl 3
Fairfax, VA 22030
Phone (703) 383-8130

8316 Arlington Blvd
Ste 300
Fairfax, VA 22031
Phone (703) 573-2432

3801 University Dr
Ste 300
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
#300
Fairfax, VA 22030
Phone (703) 383-8130

3801 University Dr
#200
Fairfax, VA 22030

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1850 Town Center Pkwy
#305
Reston, VA 20190
Phone (703) 834-2900

1850 Town Center Pkwy
Ste 305
Reston, VA 20190
Phone (703) 834-2900

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEEADA/Endpoint/IEEADA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1003871971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-7600",
            "fax_number": "703-560-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 ARLINGTON BLVD",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220315207",
            "telephone_number": "703-573-7600",
            "fax_number": "703-560-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "MARK",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "010143630",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101043630",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "VA",
            "license": "0101043630",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "VA",
            "license": "0101043630",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST ID",
            "identifier": "0005",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "0101043630",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006524141",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.