Individual provider Active NPI

Lisa G Rubin, M.D.

  • Obstetrics & Gynecology Physician
  • Titusville, PA
National Provider Identifier
1164491064
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD471534 Issued in PA
Practice address
406 West Oak St
Titusville, PA 16354-1404
Phone
(814) 827-9770
Fax
(814) 827-3556
NPI assigned
Mar 15, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0035520 MD
Obstetrics & Gynecology Physician 207V00000X MD471534 PA Primary

Addresses

Primary practice location

406 West Oak St
Titusville, PA 16354-1404

Mailing address

406 W Oak St
Titusville, PA 16354-1404
Phone (814) 827-9770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201014001988 PA Practitioner - Obstetrics/Gynecology 3072790542 Reassigns benefits to 1 organization
I20230823001493 OH Practitioner - Obstetrics/Gynecology 3072790542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
George Washington University School of Medicine, 1985
Medicare assignment
May accept Medicare assignment
Group practices
Healthnet IncGroup PAC ID 7214840933, 77 clinicians
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-8909

2855 N Keystone Ave
Indianapolis, IN 46218-2790

300 Halket St
Pittsburgh, PA 15213-3108

3403 E Raymond St
Indianapolis, IN 46203-4744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
84.25
Promoting interoperability
100
Improvement activities
40
Cost
72.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0035520MDMDObstetrics & Gynecology Physician
MD471534PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Obstetrics & Gynecology CurrentSince Mar 17, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Mar 17, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Uvpc Specialists, Inc. CurrentSince Jul 10, 2023 Accepting new patients
Healthnet, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Uvpc Specialists Inc. CurrentSince Jul 10, 2023 Accepting new patients
Upmc Emergency Medicine Inc Past Accepting new patients

Locations

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2855 N Keystone Ave
Ste 130
Indianapolis, IN 46218

101 Looney Rd
Piqua, OH 45356
Phone (937) 335-1660

101 Looney Rd
Ste B
Piqua, OH 45356

3130 N County Road 25A
Ste 212
Troy, OH 45373
Phone (937) 335-0061

300 Halket St
Pittsburgh, PA 15213
Phone (412) 641-1000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1164491064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541404",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 WEST OAK ST",
            "city": "TITUSVILLE",
            "state": "PA",
            "postal_code": "163541404",
            "telephone_number": "814-827-9770",
            "fax_number": "814-827-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LISA",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0035520",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD471534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, PA

Sources for this page

Verify at the official NPI Registry.