Individual provider Active NPI

Rubindeep Ruby Powar, MD

  • Family Medicine Physician
  • Auburn, AL
National Provider Identifier
1295045631
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33126 Issued in AL
Practice address
1518 Professional Pkwy
Suite a
Auburn, AL 36830-2857
Phone
(706) 616-8145
Fax
(334) 321-0063
NPI assigned
Oct 19, 2010
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 33126 AL Primary

Addresses

Primary practice location

1518 Professional Pkwy
Suite a
Auburn, AL 36830-2857

Mailing address

1518 Professional Pkwy
Suite a
Auburn, AL 36830-2857
Phone (334) 321-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20201111001498 AL Practitioner - Family Practice 4284054669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Alabama Primary Care, LLCGroup PAC ID 6901984913, 3 clinicians

Practice addresses (Care Compare)

1518 Professional Pkwy a
Auburn, AL 36830-2857
Phone (334) 321-0060

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33126ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Alabama Primary Care, LLC Family Medicine CurrentSince Aug 31, 2020 Accepting new patients
Greater Montgomery Patient Centered Gastroenterology and Hepatology PastSince Aug 31, 2020 Accepting new patients

Locations

1518 Professional Pkwy
#A
Auburn, AL 36830
Phone (334) 321-0060

1518A Professional Pkwy
Auburn, AL 36830

Interoperability endpoints

  • Direct secure messaging: rubindeep.powar.1@14728.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1295045631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 PROFESSIONAL PKWY",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "334-321-0060",
            "fax_number": "334-321-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 PROFESSIONAL PKWY",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302857",
            "telephone_number": "706-616-8145",
            "fax_number": "334-321-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWAR",
        "first_name": "RUBINDEEP",
        "middle_name": "RUBY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "33126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.