Individual provider Active NPI

Stuart Rubin, MD

  • Diagnostic Radiology Physician
  • Williamsville, NY
National Provider Identifier
1013950609
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1756431 Issued in NY
Practice address
55 Spindrift Dr
Williamsville, NY 14221-7800
Phone
(716) 631-2500
Fax
(716) 631-1249
NPI assigned
Jun 13, 2006
Last updated
Jan 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1756431 NY Primary

Addresses

Primary practice location

55 Spindrift Dr
Williamsville, NY 14221-7800

Mailing address

55 Spindrift Dr
Williamsville, NY 14221-7800
Phone (716) 631-2500

Other identifiers 7

IdentifierTypeStateIssuer
01357895MedicaidNY
040426002390OtherNYFIDELIS
1691003OtherNYIHA
0005889OtherNYGHI
300117811OtherNYRRMCR
00040823405OtherNYUNIVERA
000525479007OtherNYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111118000476 NY Practitioner - Diagnostic Radiology 1759555261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windsong Radiology Group P CGroup PAC ID 0749264752, 23 clinicians

Practice addresses (Care Compare)

10195 Niagara Falls Blvd
Suite 200
Niagara Falls, NY 14304-2941
Phone (716) 631-2500

3950 E Robinson Rd
W Amherst, NY 14228-2041
Phone (716) 631-2500

4893 Transit Rd
Depew, NY 14043-4698
Phone (716) 631-2500

4925 Main St
Amherst, NY 14226-4000
Phone (716) 839-3333

55 Spindrift Dr
Williamsville, NY 14221-7800
Phone (716) 631-2500

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
80
Improvement activities
40
Cost
77.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1756431NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windsong Radiology Group, P C Diagnostic Radiology CurrentSince Apr 1, 2001 Accepting new patients
Frontier Surgical Associates, LLP PastSince May 15, 2017 Accepting new patients

Locations

4711 Transit Rd
Depew, NY 14043
Phone (716) 668-5331

55 Spindrift Dr
Ste 220
Williamsville, NY 14221
Phone (716) 626-6300

55 Spindrift Dr
Williamsville, NY 14221
Phone (716) 447-6310

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1013950609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPINDRIFT DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217800",
            "telephone_number": "716-631-2500",
            "fax_number": "716-631-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1756431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01357895",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426002390",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "1691003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0005889",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "300117811",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00040823405",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000525479007",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.