Active NPI
Marc Rubenstein, M.D.
- Specialist
- Chicago, IL
National Provider Identifier
1265765838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036047597
- Practice address
- 159 E Walton PL
Unit 26
Chicago, IL 60611-1971 - Phone
- (847) 544-5867
- Fax
- (847) 544-5950
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 036047597 | IL | Primary |
Addresses
Primary practice location
159 E Walton PL
Unit 26
Chicago, IL 60611-1971
Mailing address
159 E Walton PL
Unit 26
Chicago, IL 60611-1971
Phone (847) 544-5867
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160929002165 | IL | Order and Referring Only - Urology | 3577469253 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474243200000",
"number": "1265765838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 E WALTON PL",
"address_2": "UNIT 26",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111971",
"telephone_number": "847-544-5867",
"fax_number": "847-544-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 E WALTON PL",
"address_2": "UNIT 26",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606111971",
"telephone_number": "847-544-5867",
"fax_number": "847-544-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENSTEIN",
"first_name": "MARC",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2016-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036047597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.