Active NPI
Lewis P Rubin, MD
- Neonatal-Perinatal Medicine Physician
- El Paso, TX
National Provider Identifier
1285727594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 44130
- Practice address
- 4801 Alberta Ave
El Paso, TX 79905-2707 - Phone
- (915) 545-7555
- Fax
- (915) 545-6975
- NPI assigned
- Oct 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | ME 102283 | FL | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 44130 | TX | Primary |
Addresses
Primary practice location
4801 Alberta Ave
El Paso, TX 79905-2707
Mailing address
4800 Alberta Ave
Suite 101
El Paso, TX 79905-2709
Phone (915) 545-6720
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2586698 | Medicaid | OH | |
| 59037 | Other | FL | BLUE CROSS BLUE SHIELD |
| 000229300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 102283 | FL | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| MGMC, LLC | Current | Accepting new patients | |
| Meridia Medical Group, LLC | Past | Accepting new patients | |
| Medstar - Georgetown Medical Center, Inc. | Past | Accepting new patients |
Locations
2233 Wisconsin Ave NW
Washington, DC 20007
Phone (202) 333-0329
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
Organizations & group practices 7
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.
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- General Practice Physician
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- NPI 1285064550
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1558189712
-
- General Acute Care Hospital
- Washington, DC
- NPI 1427145176
-
- Specialist
- Warrensville Heights, OH
- NPI 1316992944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1285727594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"address_2": "SUITE 101",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-545-6720",
"fax_number": "915-545-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052707",
"telephone_number": "915-545-7555",
"fax_number": "915-545-6975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "LEWIS",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "FL",
"license": "ME 102283",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "44130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2586698",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "59037",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000229300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.