Individual provider Active NPI

Jason Seth Rubin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Naperville, IL
National Provider Identifier
1114280427
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
016005582 Issued in IL
Practice address
1020 E Ogden Ave Ste 214
Naperville, IL 60563-8610
Phone
(630) 780-3668
Fax
(630) 839-4050
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 016005582 IL Primary

Addresses

Primary practice location

1020 E Ogden Ave Ste 214
Naperville, IL 60563-8610

Mailing address

1020 E Ogden Ave Ste 214
Naperville, IL 60563-8610
Phone (630) 780-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150824000830 IL Practitioner - Podiatry 8325262967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1020 E Ogden Ave
Suite 214
Naperville, IL 60563-8610
Phone (630) 780-3668

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
92.56
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue321
Removal of skin lesions1-10
Removal of nail tissue2062
Removal or shaving of skin growth1199

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016005582ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rubin Foot & Ankle Center, P.C. CurrentSince Jan 4, 2017 Accepting new patients
Dr Ron Riegelhaupt Foot & Ankle Surgery PastSince Jul 27, 2015 Accepting new patients
Northshore Surgicare PastSince Jul 27, 2015 Accepting new patients

Locations

10 Martin Ave
Ste 2
Naperville, IL 60540
Phone (630) 357-1030

1020 E Ogden Ave
Ste 214
Naperville, IL 60563
Phone (630) 416-1375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15856/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.rubin.1@15856.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1114280427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 214",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "630-780-3668",
            "fax_number": "630-839-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 214",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "630-780-3668",
            "fax_number": "630-839-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JASON",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.