Individual provider Active NPI

Rene R Rubin, MD

  • Hematology & Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1285633016
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
M0031135E Issued in PA
Practice address
207 N Broad St
6TH Floor
Philadelphia, PA 19107-1500
Phone
(215) 561-0809
Fax
(215) 561-0828
NPI assigned
Jul 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X M0031135E PA Primary

Addresses

Primary practice location

207 N Broad St
6TH Floor
Philadelphia, PA 19107-1500

Mailing address

20 Expedition TRL Ste 101
Gettysburg, PA 17325-8599
Phone (717) 334-4033

Other practice location 1

400 Davis Dr Ste 200B
Plymouth Meeting, PA 19462-1718
Phone (717) 334-4033

Other practice location 2

1 Presidential Blvd Ste 115
Bala Cynwyd, PA 19004-1017
Phone (215) 487-3070

Other identifiers 9

IdentifierTypeStateIssuer
001004390-0016MedicaidPA
001004390-0019MedicaidPA
001004390-0011MedicaidPA
001004390-0018MedicaidPA
001004390-0022MedicaidPA
001004390-0020MedicaidPA
001004390-0017MedicaidPA
001004390-0021MedicaidPA
01947477MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090818000521 PA Practitioner - HematologyPractitioner - Hematology/Oncology 8224008511 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Hematology/Oncology
Education
State University of New York - State College Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Satish a Shah MD PCGroup PAC ID 0648258947, 16 clinicians
Rittenhouse Hematology Oncology LLCGroup PAC ID 3779084108, 4 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Chester, PA 19013-3902
Phone (610) 619-7420

1 Presidential Blvd
Suite 115
Bala Cynwyd, PA 19004-1017
Phone (215) 487-3070

20 Expedition Trail
Gettysburg, PA 17325-8599

20 Expedition TRL
Suite 101
Gettysburg, PA 17325-8599

207 N Broad St
FL 6
Philadelphia, PA 19107-1500
Phone (215) 561-0809

500 Evergreen Dr
Suite G3
Glen Mills, PA 19342-1032
Phone (610) 579-3595

Hospital & facility affiliations

  • Main Line Health Home Care & Hospice - Home Health Home health agency, Radnor, PA, CCN 397012
  • Roxborough Memorial Hospital Hospital, Philadelphia, PA, CCN 390304
  • Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139

Merit-based Incentive Payment System (MIPS)

Final score
97.52 of 100Reported as group
Quality
91.15
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0031135EPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Medical Group LLC CurrentSince Oct 1, 2015 Accepting new patients
Satish a Shah MD PC Hematology & Oncology CurrentSince Sep 1, 2024 Accepting new patients
Rittenhouse Hematology Oncology LLC Hematology & Oncology Current Accepting new patients
Rittenhouse Hematology Oncology LLC CurrentSince Jun 7, 2025 Accepting new patients

Locations

1 Presidential Blvd
Ste 115
Bala Cynwyd, PA 19004
Phone (215) 487-3070

1 Medical Center Blvd
Ste 341
Chester, PA 19013
Phone (610) 619-7420

2701 DeKalb Pike
Fl 2
East Norriton, PA 19401
Phone (610) 275-1028

20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033

500 Evergreen Dr
Ste G3
Glen Mills, PA 19342
Phone (610) 579-3595

216 Mall Blvd
Ste 201
King of Prussia, PA 19406
Phone (215) 561-0809

207 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 463-1483

400 Davis Dr
Ste 200B
Plymouth Meeting, PA 19462
Phone (215) 242-8260

Organizations & group practices 4

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 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1285633016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EXPEDITION TRL STE 101",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173258599",
            "telephone_number": "717-334-4033",
            "fax_number": "717-334-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BROAD ST",
            "address_2": "6TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071500",
            "telephone_number": "215-561-0809",
            "fax_number": "215-561-0828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Davis Dr Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Plymouth Meeting",
            "state": "PA",
            "postal_code": "194621718",
            "country_code": "US",
            "telephone_number": "717-334-4033",
            "fax_number": "717-334-5599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Presidential Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041017",
            "country_code": "US",
            "telephone_number": "215-487-3070",
            "fax_number": "215-561-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "RENE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "M0031135E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0016",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0019",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0011",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0018",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0022",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0020",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0017",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004390-0021",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01947477",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.