Individual provider Active NPI

Jerry Alan Rubin, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Orlando, FL
National Provider Identifier
1134136997
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
ME 66320 Issued in FL
Practice address
6900 Turkey Lake Rd
Suite 1-7
Orlando, FL 32819-4707
Phone
(321) 939-3300
Fax
(321) 939-3303
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME 66320 FL Primary

Addresses

Primary practice location

6900 Turkey Lake Rd
Suite 1-7
Orlando, FL 32819-4707

Mailing address

6900 Turkey Lake Rd
Suite 1-7
Orlando, FL 32819-4707
Phone (321) 939-3300

Other identifiers 1

IdentifierTypeStateIssuer
25310YOtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090407000162 FL Practitioner - Hand Surgery 6608945241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6900 Turkey Lake Rd
Suite 1 7
Orlando, FL 32819-4707
Phone (321) 939-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 66320FLMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry a Rubin MD Surgery of the Hand CurrentSince Jun 20, 2008 Accepting new patients
Celebration Surgery Center LLC PastSince Oct 1, 2008 Accepting new patients
Advanced Surgery Center of Orlando LLC PastSince Dec 1, 2012 Accepting new patients

Locations

410 Celebration Pl
Ste 300
Kissimmee, FL 34747
Phone (321) 939-3300

6900 Turkey Lake Rd
Ste 1-7
Orlando, FL 32819
Phone (321) 939-3300

Interoperability endpoints

  • Direct secure messaging: jerryrubin@jarmd.allscriptsdirect.net

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1134136997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 TURKEY LAKE RD",
            "address_2": "SUITE 1-7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194707",
            "telephone_number": "321-939-3300",
            "fax_number": "321-939-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 TURKEY LAKE RD",
            "address_2": "SUITE 1-7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194707",
            "telephone_number": "321-939-3300",
            "fax_number": "321-939-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JERRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME 66320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "25310Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.