Active NPI
Sara Beth Rubenacker, M.D.
- Obstetrics & Gynecology Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 125.059927
- Practice address
- 415 N 9TH St
Springfield, IL 62702-5303 - Phone
- (217) 545-5117
- Fax
- (217) 545-4912
- NPI assigned
- Jun 28, 2011
- Last updated
- Jun 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125.059927 | IL | Primary |
Addresses
Primary practice location
415 N 9TH St
Springfield, IL 62702-5303
Mailing address
PO Box 19640
Springfield, IL 62794-9640
Phone (217) 545-5117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Southern Illinois University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3408 Office Park Dr
Marion, IL 62959-6477
Phone (618) 997-5266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.059927 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Women's Healthcare LTD | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Heartland Women's Healthcare LTD | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
900 E Walnut St
Ste 10
Carbondale, IL 62901
811 Fairfax St
Carlyle, IL 62231
Phone (618) 594-3025
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
929 Stacey Burk Dr
Flora, IL 62839
3408 Office Park Dr
Marion, IL 62959
Phone (318) 997-5266
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
3130 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (708) 736-1727
3230 Veterans Memorial Dr
Mount Vernon, IL 62864
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
1170 Fortune Blvd
Shiloh, IL 62269
Phone (844) 872-6249
6 Park Pl
Swansea, IL 62226
Phone (618) 233-0522
Interoperability endpoints
- sara.rubenacker.1@21608.direct.athenahealth.com
- srubenacker149121@direct-ehr-ssmhc.com
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Marion, IL
- NPI 1851307532
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
Obstetrics & Gynecology
-
- Clinical Medical Laboratory
- Swansea, IL
- NPI 1043852932
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Good Samaritan Hospital - Mt. Vernon
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- Critical Access Hospital
- McLeansboro, IL
- NPI 1447257258
-
dba Carmi Family Clinic
- Rural Health Clinic/Center
- Carmi, IL
- NPI 1588902183
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309219200000",
"number": "1023304094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19640",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627949640",
"telephone_number": "217-545-5117",
"fax_number": "217-545-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 N 9TH ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025303",
"telephone_number": "217-545-5117",
"fax_number": "217-545-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENACKER",
"first_name": "SARA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-28",
"last_updated": "2011-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "125.059927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.