Individual provider Active NPI

Ari B Rubenfeld, M.D.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Chicago, IL
National Provider Identifier
1255329470
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
036-111652 Issued in IL
Practice address
1855 W Taylor St
RM 2.42
Chicago, IL 60612-7242
Phone
(312) 996-6584
Fax
(312) 996-1282
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 036-111652 IL Primary
Specialist 174400000X 5745520 WI

Addresses

Primary practice location

1855 W Taylor St
RM 2.42
Chicago, IL 60612-7242

Mailing address

1855 W Taylor St
RM 2.42
Chicago, IL 60612-7242
Phone (312) 996-6584

Other identifiers 1

IdentifierTypeStateIssuer
036-111652-1MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041005000232 IL Practitioner - OtolaryngologyPractitioner - General Surgery 8426017658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: General Surgery
Education
State University of New York at Buffalo School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Board of Trustees of the University of IllinoisGroup PAC ID 3072422716, shared by 24 NPIs, 1,134 clinicians

Practice addresses (Care Compare)

1740 W Taylor St
Chicago, IL 60612-7232

1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-6590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
73.53
Promoting interoperability
100
Improvement activities
40
Cost
70.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5745520WIMDSpecialist
036-111652ILMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Oct 27, 2008 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 27, 2008 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Oct 27, 2008 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 1, 2023 Accepting new patients

Locations

1855 W Taylor St
Rm 242
Chicago, IL 60612
Phone (312) 996-6584

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

2653 W Ogden Ave
Fl 3
Chicago, IL 60608
Phone (773) 257-6701

1855 W Taylor St
#648
Chicago, IL 60612
Phone (312) 996-6582

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758

2701 W 68th St
Chicago, IL 60629
Phone (773) 471-8000

Interoperability endpoints

  • Direct secure messaging: arubenfeld12601@uihealth.direct-ci.com

Organizations & group practices 6

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

Hospital & facility affiliations 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1255329470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST",
            "address_2": "RM 2.42",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-6584",
            "fax_number": "312-996-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W TAYLOR ST",
            "address_2": "RM 2.42",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127242",
            "telephone_number": "312-996-6584",
            "fax_number": "312-996-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENFELD",
        "first_name": "ARI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IL",
            "license": "036-111652",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "5745520",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-111652-1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.