Ira S. Rubin, M.D.,PHD.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036071663 Issued in IL

Practice address

1012 95TH St Ste 7
Naperville, IL 60564-5040

Phone

(630) 357-1030

Fax

(630) 357-8027

NPI assigned

Jul 11, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15856/brand/1/csg/1/fhir/r4

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.

• Naperville Pediatric Associates

  • Pediatrics Physician
  • Naperville, IL
  • NPI 1467575019
  NPD (past) Authorized official
• Rubin Foot & Ankle Center, P.C.

  • Podiatric Clinic/Center
  • Naperville, IL
  • NPI 1861938391
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1104824549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 95TH ST STE 7",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645040",
            "telephone_number": "630-357-1030",
            "fax_number": "630-357-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST STE 7",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645040",
            "telephone_number": "630-357-1030",
            "fax_number": "630-357-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "IRA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036071663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071663",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Rowan, PT
• Shauna Rowe, BCBA
• Mary Roy, M.D.
• Robert D Rozner, MD
• Rubin Foot & Ankle Center, P.C.
• Jason Seth Rubin, D.P.M.
• Stephen M. Rublaitus, D.O.
• Savannah Catherine Rucker
• Nicholas Rudny
• Genesis Rue

• Pediatrics Physician in Naperville, IL
• Providers in Naperville, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.