Keith Martin Rubin, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS8591 Issued in FL

Practice address

25097 Olympia Ave Ste 203
Punta Gorda, FL 33950-3914

Phone

(941) 347-8744

Fax

(941) 347-8756

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Nova Southeastern College of Osteo Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: keith.rubin.1@20727.direct.athenahealth.com

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.

• Rubin Family Medicine

  • Adult Medicine Physician
  • Punta Gorda, FL
  • NPI 1609310176
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043348154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE STE 203",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503914",
            "telephone_number": "941-347-8744",
            "fax_number": "941-347-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25097 OLYMPIA AVE STE 203",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503914",
            "telephone_number": "941-347-8744",
            "fax_number": "941-347-8756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25098 Olympia Ave",
            "address_2": "suite 400",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339503938",
            "country_code": "US",
            "telephone_number": "941-621-6771",
            "fax_number": "941-621-6774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "KEITH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "AD305Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BC",
            "identifier": "37893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Rosman, LMHC
• Lorraine Ross
• Tina Rowe
• Rubin Family Medicine
• Rubin Optical, Inc.
• David Ruggieri, M.D.
• Lynn Ruggieri
• Ashleigh Runkle, LMT
• Ruth Support Services, LLC
• Elizabeth K Ruth

• Family Medicine Physician in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.