Active NPI
Peter Henry Rubin, M.D.
- Specialist
- New York, NY
National Provider Identifier
1164467197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 109193
- Practice address
- 920 Park Ave
New York, NY 10028-0208 - Phone
- (212) 535-3400
- Fax
- (212) 861-1829
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 109193 | NY | Primary |
Addresses
Primary practice location
920 Park Ave
New York, NY 10028-0208
Mailing address
920 Park Ave
New York, NY 10028-0208
Phone (212) 535-3400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Rochester School of Medicine and Dentistry, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
920 Park Ave
1N
New York, NY 10028-0208
Hospital & facility affiliations
- Mount Sinai Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.19 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.31
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 103 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 74 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164467197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280208",
"telephone_number": "212-535-3400",
"fax_number": "212-861-1829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 PARK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280208",
"telephone_number": "212-535-3400",
"fax_number": "212-861-1829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "PETER",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "109193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- 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; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.