Saul M Rubenstein, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301027623 Issued in MI

Practice address

6875 Dixie Hwy
Clarkston, MI 48346-2008

Phone

(248) 625-5922

Fax

(248) 625-2013

NPI assigned

Jun 26, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154358190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1988 SHORE HILL DR",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021254",
            "telephone_number": "248-858-8465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6875 DIXIE HWY",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483462008",
            "telephone_number": "248-625-5922",
            "fax_number": "248-625-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "SAUL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301027623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN PIN",
            "identifier": "1806371261",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4381538",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2105914",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shay N Rosenfeld, D.P.M.
• Maria Elizabeth Roy, RN, BS
• Rebecca Roy
• Tiffany A Roy, MA, LLPC, NCC
• Lauren Rae Ruben, MS, LPC
• Vivianna Rubles, LLPC
• Leah Marie Ruddock
• Jeremy Rudkin, D.C.
• Kelsey Ann Ruffin, BCBA
• Karen Marie Rusniak, PHD

• Ophthalmology Physician in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.