Active NPI
Michael Rubin, DO
- Ophthalmology Physician
- Detroit, MI
National Provider Identifier
1275561227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 5101006601
- Practice address
- 4777 E Outer Dr
Patrick G Murray Eye Center
Detroit, MI 48234 - Phone
- (313) 891-3000
- Fax
- (313) 891-9600
- NPI assigned
- Jun 29, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 5101006601 | MI | Primary |
Addresses
Primary practice location
4777 E Outer Dr
Patrick G Murray Eye Center
Detroit, MI 48234
Mailing address
4777 E Outer Dr
Patrick G Murray Eye Center
Detroit, MI 48234
Phone (313) 891-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1339543 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006601 | MI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275561227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4777 E OUTER DR",
"address_2": "PATRICK G MURRAY EYE CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-891-3000",
"fax_number": "313-891-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4777 E OUTER DR",
"address_2": "PATRICK G MURRAY EYE CENTER",
"city": "DETROIT",
"state": "MI",
"postal_code": "48234",
"telephone_number": "313-891-3000",
"fax_number": "313-891-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "5101006601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1339543",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.