Individual provider Active NPI

Max Roland Ruben, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1073137279
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036.161824 Issued in IL
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

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230602001394 IL Practitioner - Family Practice 4082071287 Reassigns benefits to 1 organization
I20241106000836 DC Practitioner - Family Practice 4082071287 Reassigns benefits to 2 organizations
I20260102002031 VA Practitioner - Family Practice 4082071287 Reassigns benefits to 1 organization

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 HealthGroup PAC ID 7517853419, shared by 14 NPIs, 48 clinicians
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

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 Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.161824ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Family Medicine CurrentSince Sep 16, 2024 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 1, 2023 Accepting new patients
Neighborhood Health Current Accepting new patients
Inova Ucc LLC CurrentSince Nov 24, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Jul 1, 2023 Accepting new patients
Neighborhood Health CurrentSince Sep 16, 2024 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

  • Direct secure messaging: max.ruben@nhnva.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.