Active NPI
William S Rubin, M.D.
- Emergency Medicine Physician
- Louisville, KY
National Provider Identifier
1184603474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 17709
- Practice address
- 1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921 - Phone
- (502) 272-5034
- Fax
- (502) 272-5117
- NPI assigned
- Jan 13, 2006
- Last updated
- Jan 21, 2021
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 17709 | KY | Primary |
Addresses
Primary practice location
1930 Bishop LN
Suite 1600
Louisville, KY 40218-1921
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 047292 | Other | SIHO - NICC | |
| 1226924 | Other | KY | CHA- NORTON ICC |
| 64177090 | Medicaid | KY | |
| 047292 | Other | KY | SIHO- NORTON ICC |
| 000000057464 | Other | KY | ANTHEM PROV ID# |
| 000000480188 | Other | KY | ANTHEM NORTON |
| P00362332 | Other | KY | RAILROAD MEDICARE |
| 100349770 | Medicaid | IN | |
| 1054506 | Other | KY | PASSPORT ID# |
| 100349770 | Other | IN | ANTHEM INDIANA MEDICAID- NORTON ICC |
| 100349770 | Other | KY | HEALTHY INDIANA PLAN- NORTON ICC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wrubin11826@direct.nortonhealthcare.org | ||
| FHIR URL | https://epicsoap.nortonhealthcare.org/ |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medical Associates, PSC | Emergency Medicine | Current | Accepting new patients |
Locations
29478 Network Pl
Chicago, IL 60673
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Louisville, KY
- NPI 1285760371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1184603474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 BISHOP LN",
"address_2": "SUITE 1600",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402181921",
"telephone_number": "502-272-5034",
"fax_number": "502-272-5117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "WILLIAM",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "17709",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO - NICC",
"identifier": "047292",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA- NORTON ICC",
"identifier": "1226924",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64177090",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO- NORTON ICC",
"identifier": "047292",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROV ID#",
"identifier": "000000057464",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM NORTON",
"identifier": "000000480188",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00362332",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100349770",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ID#",
"identifier": "1054506",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM INDIANA MEDICAID- NORTON ICC",
"identifier": "100349770",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY INDIANA PLAN- NORTON ICC",
"identifier": "100349770",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wrubin11826@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "1930 Bishop Ln",
"address_2": "Suite 1600",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402181921",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "1930 Bishop Ln",
"address_2": "Suite 1600",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402181921",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.