Active NPI
Max Roland Ruben, MD
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036.161824
- Practice address
- 5359 W Fullerton Ave
Chicago, IL 60639-1450 - Phone
- (773) 836-2785
- Fax
- (773) 836-7381
- NPI assigned
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.161824 | IL | Primary |
Addresses
Primary practice location
5359 W Fullerton Ave
Chicago, IL 60639-1450
Mailing address
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- George Washington University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neighborhood Health
Practice addresses (Care Compare)
1200 N Howard St
Alexandria, VA 22304-1634
Phone (703) 535-5568
2 E Glebe Rd
Alexandria, VA 22305-2938
Phone (703) 535-5568
20070 Ashbrook Commons PLZ
Unit 104
Ashburn, VA 20147-5035
Phone (571) 479-3116
6206 Rolling Rd
Springfield, VA 22152-2306
Phone (571) 889-3235
Hospital & facility affiliations
- Virginia Hospital Center
- Inova Alexandria Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.161824 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health | Family Medicine | Current | Accepting new patients |
| PCC Community Wellness Center | Current | Accepting new patients | |
| Neighborhood Health | Current | Accepting new patients | |
| Inova Ucc LLC | Current | Accepting new patients | |
| PCC Community Wellness Center | Current | Accepting new patients | |
| Neighborhood Health | Current | Accepting new patients | |
| Neighborhood Health | Past | Accepting new patients | |
| Neighborhood Health | Past | Accepting new patients |
Locations
5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785
14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113
1225 Martha Custis Dr
Ste C1
Alexandria, VA 22302
Phone (703) 671-2700
2616 Sherwood Hall Ln
Ste 106
Alexandria, VA 22306
Phone (703) 360-0300
2 E Glebe Rd
Alexandria, VA 22305
Phone (703) 535-6913
8119 Holland Rd
Alexandria, VA 22306
Phone (703) 360-6910
4850 Mark Center Dr
Alexandria, VA 22311
Phone (703) 746-3400
1200 N Howard St
Alexandria, VA 22304
Phone (703) 519-5979
6677 Richmond Hwy
Alexandria, VA 22306
8350 Richmond Hwy
Ste 301
Alexandria, VA 22309
Phone (703) 535-6913
6715 Little River Tpke
Ste 201
Annandale, VA 22003
Phone (703) 914-3640
2100 Washington Blvd
Arlington, VA 22204
Phone (703) 228-1600
2301 Columbia Pike
Ste G
Arlington, VA 22204
Phone (703) 717-7545
20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116
24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500
11670 Sudley Manor Dr
Manassas, VA 20109
Phone (571) 359-6424
6206 Rolling Rd
Springfield, VA 22152
Phone (571) 889-3235
180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300
Interoperability endpoints
- max.ruben@nhnva.eclinicaldirectplus.com
- mruben1444456@soc.inova.org
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Oak Park, IL
- NPI 1871516799
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1134954506
-
- Federally Qualified Health Center (FQHC)
- Arlington, VA
- NPI 1225899719
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Alexandria, VA
- NPI 1710544283
-
- Federally Qualified Health Center (FQHC)
- Alexandria, VA
- NPI 1164620027
-
- Federally Qualified Health Center (FQHC)
- Alexandria, VA
- NPI 1669801403
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1073137279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5359 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391450",
"telephone_number": "773-836-2785",
"fax_number": "773-836-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606391450",
"telephone_number": "773-836-2785",
"fax_number": "773-836-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBEN",
"first_name": "MAX",
"middle_name": "ROLAND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-03",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.161824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.