Individual provider Active NPI

Mitchell A Rubinstein, M.D.

  • Internal Medicine Physician
  • Parkland, FL
National Provider Identifier
1225081573
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME78410 Issued in FL
Practice address
6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone
(954) 578-4000
NPI assigned
May 18, 2006
Last updated
Jun 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME78410 FL Primary
Pediatric Cardiology Physician 2080P0202X 25MA05464300 NJ

Addresses

Primary practice location

6093 NW 62ND Ter
Parkland, FL 33067-1538

Mailing address

6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone (954) 578-4000

Other identifiers 1

IdentifierTypeStateIssuer
6449506MedicaidNJ

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
I20220609002200 FL Practitioner - Internal Medicine 7012945793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swallowing Diagnostics IncGroup PAC ID 0244261683, 10 clinicians

Practice addresses (Care Compare)

6093 NW 62ND Ter
Parkland, FL 33067-1538
Phone (954) 578-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME78410FLMDInternal Medicine Physician
25MA05464300NJMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swallowing Diagnostics Inc Internal Medicine CurrentSince May 27, 2022 Accepting new patients
Valley Medical Services, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1225081573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6093 NW 62ND TER",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330671538",
            "telephone_number": "954-578-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME78410",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NJ",
            "license": "25MA05464300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6449506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkland, FL

Sources for this page

Verify at the official NPI Registry.