Active NPI
Jennifer Beth Rubin, MD
- Internal Medicine Physician
- St Petersburg, FL
National Provider Identifier
1285819011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME165826
- Practice address
- 7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305 - Phone
- (813) 280-0124
- Fax
- (904) 341-5249
- NPI assigned
- Dec 28, 2007
- Last updated
- Jan 6, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME165826 | FL | |
| Internal Medicine Physician | 207R00000X | ME165826 | FL | Primary |
Addresses
Primary practice location
7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305
Mailing address
7901 4TH St N Ste 14102
St Petersburg, FL 33702-4305
Phone (813) 280-0124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Georgetown University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12276 San Jose Blvd
Jacksonville, FL 32223-8628
Phone (813) 280-0124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronius Care Medical Group PLLC | Internal Medicine | Current | Accepting new patients |
| Chronius Physical Therapy LLC | Past | Accepting new patients | |
| Southbury Medical Associates, LLP | Internal Medicine | Past | Accepting new patients |
| Cloud Health Medical Group, P.a. | Internal Medicine | Past | Accepting new patients |
Locations
12276 San Jose Blvd
Bldg 700
Jacksonville, FL 32223
Phone (813) 280-0124
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Jacksonville, FL
- NPI 1194409920
Internal Medicine
-
- Physical Therapist
- Raleigh, NC
- NPI 1073443271
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Internal Medicine Physician
- Southbury, CT
- NPI 1407984222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1285819011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 14102",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "813-280-0124",
"fax_number": "904-341-5249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 14102",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024305",
"telephone_number": "813-280-0124",
"fax_number": "904-341-5249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "JENNIFER",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-28",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME165826",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME165826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.