Individual provider Active NPI

Tod Rubin, DO

  • Anesthesiology Physician
  • Smyrna, GA
National Provider Identifier
1083677314
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
040529 Issued in GA
Practice address
4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone
(770) 702-1806
Fax
(770) 693-0810
NPI assigned
Apr 8, 2006
Last updated
Mar 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 040529 GA Primary

Addresses

Primary practice location

4441 Atlanta Rd SE
Smyrna, GA 30080-6406

Mailing address

PO Box 155
Austell, GA 30168-1002
Phone (770) 732-3649

Other practice location 1

4441 Atlanta Rd SE
Smyrna, GA 30080-6406
Phone (770) 702-1806 ext. 210

Other identifiers 1

IdentifierTypeStateIssuer
000705658AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20070521000387 GA Practitioner - Anesthesiology 5193822435 Reassigns benefits to 6 organizations
I20221221000289 NY Practitioner - Anesthesiology 5193822435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Mak Anesthesia Georgia, LLCGroup PAC ID 7315203718, 108 clinicians
Mak Anesthesia Holdings, LLCGroup PAC ID 4284917204, 370 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians
U of R Anesthesiology GroupGroup PAC ID 3476451105, 340 clinicians

Practice addresses (Care Compare)

2131 Fountain Dr
Snellville, GA 30078-7024
Phone (770) 702-1806

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 702-1806

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
040529GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Anesthesiology Current Accepting new patients
Anesthesia Services of Atlanta LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 17, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 15, 2023 Accepting new patients
Albany Medical College CurrentSince Dec 5, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Dec 5, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Mak Anesthesia Georgia, LLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
U of R Anesthesiology Group Anesthesiology CurrentSince Jan 13, 2025 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Fortis Health, LLC Anesthesiology CurrentSince Oct 1, 2021 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Dec 5, 2022 Accepting new patients
Radius Anesthesia of Georgia LLC Anesthesiology CurrentSince Mar 1, 2022 Accepting new patients
Mak Anesthesia Holdings LLC Anesthesiology CurrentSince Feb 1, 2017 Accepting new patients
Emory Medical Care Foundation Anesthesiology CurrentSince Sep 17, 2024 Accepting new patients
Priority Anesthesia, LLC Anesthesiology PastSince Jul 19, 2007 Accepting new patients
Atlanta Sports Medicine Surgery Center Past Accepting new patients
Metro West Anesthesia Anesthesiology Past Accepting new patients
Cobb Anesthesia, PC Anesthesiology Past Accepting new patients

Locations

1110 W Peachtree St NW
Ste 100
Atlanta, GA 30309
Phone (404) 575-2050

1201 W Peachtree St NW
Ste 2300
Atlanta, GA 30309
Phone (267) 817-8902

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

3455 Peachtree Rd NE
Ste 500
Atlanta, GA 30326
Phone (804) 215-5600

3500 Lenox Rd NE
Ste 1500
Atlanta, GA 30326
Phone (404) 720-8220

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

8954 Hospital Dr
Ste 115B
Douglasville, GA 30134
Phone (678) 838-2532

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

1635 Old Highway 41 NW
Ste 112328
Kennesaw, GA 30152
Phone (770) 732-3664

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

895 Canton Rd NE
Bldg 200
Marietta, GA 30060
Phone (678) 784-0203

1360 Upper Hembree Rd
Ste 202
Roswell, GA 30076
Phone (678) 672-4840

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

4441 Atlanta Rd SE
Smyrna, GA 30080
Phone 7707021806 ext. 210

2131 Fountain Dr
Snellville, GA 30078
Phone (770) 979-8200

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

Interoperability endpoints

  • Direct secure messaging: trubin29047@albanymed.direct-ci.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 10

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": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1083677314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301681002",
            "telephone_number": "770-732-3649",
            "fax_number": "770-732-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4441 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806406",
            "telephone_number": "770-702-1806",
            "fax_number": "770-693-0810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4441 Atlanta Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806406",
            "country_code": "US",
            "telephone_number": "770-702-1806 x210",
            "fax_number": "770-693-0810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "TOD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "040529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000705658A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.