Individual provider Active NPI

Erik M Rubright, DO

  • Family Medicine Physician
  • Gladstone, MI
National Provider Identifier
1295848570
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101013406 Issued in MI
Practice address
145 5TH Ave NE
Gladstone, MI 49837-1929
Phone
(906) 428-3273
Fax
(906) 428-1881
NPI assigned
Aug 17, 2006
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101013406 MI Primary

Addresses

Primary practice location

145 5TH Ave NE
Gladstone, MI 49837-1929

Mailing address

145 5TH Ave NE
Gladstone, MI 49837-1929
Phone (906) 428-3273

Other identifiers 3

IdentifierTypeStateIssuer
1295848570MedicaidMI
080114637OtherMIRR MEDICARE GROUP#CC2139
3422667MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100319000355 MI Practitioner - Family Practice 8123099835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians

Practice addresses (Care Compare)

145 4TH Ave N
Osf Healthcare Medical Group
Gladstone, MI 49837-1054
Phone (906) 428-3273

3409 Ludington St
Escanaba, MI 49829-4213

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Family Medicine CurrentSince Mar 1, 1998 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital CurrentSince Mar 1, 1998 Accepting new patients
St Francis Hospital Past Accepting new patients

Locations

126 S 25th St
#B
Escanaba, MI 49829
Phone (906) 233-9500

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

128 Michigan Ave
Gladstone, MI 49837
Phone (906) 428-3273

145 4th Ave N
Gladstone, MI 49837
Phone (906) 428-3273

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.

Hospital & facility affiliations 3

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1295848570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371929",
            "telephone_number": "906-428-3273",
            "fax_number": "906-428-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 5TH AVE NE",
            "city": "GLADSTONE",
            "state": "MI",
            "postal_code": "498371929",
            "telephone_number": "906-428-3273",
            "fax_number": "906-428-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBRIGHT",
        "first_name": "ERIK",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295848570",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP#CC2139",
            "identifier": "080114637",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3422667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MI

Sources for this page

Verify at the official NPI Registry.