Brent Albert Rubis, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

21510 Issued in OK

Practice address

10119 E 80TH St
Ste. a
Tulsa, OK 74133-3407

Phone

(918) 254-6793

Fax

(918) 254-6796

NPI assigned

Mar 2, 2006

Last updated

Jun 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brent.rubis@direct.stjohnhealthsystem.com

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.

• Rubis Plastic Surgery, PLLC

  • Plastic and Reconstructive Surgery Physician
  • Tulsa, OK
  • NPI 1013071166
  Authorized official Same address or phone
• Spillars Medical, P.C.

  • Clinic/Center
  • Tulsa, OK
  • NPI 1487859237
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1326015843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10119 E 80TH ST",
            "address_2": "STE. A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333407",
            "telephone_number": "918-254-6793",
            "fax_number": "918-254-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10119 E 80TH ST",
            "address_2": "STE. A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333407",
            "telephone_number": "918-254-6793",
            "fax_number": "918-254-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIS",
        "first_name": "BRENT",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OK",
            "license": "21510",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OK",
            "license": "21510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2542190",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7017123",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100181350A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1323612001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1980515",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica D Rubinstein, P.A.
• Kylie Rubio
• Samanta Rubio
• Tamara Rubio
• Rubis Plastic Surgery, PLLC
• Lynnetta Ruble
• Courtney Ruby, DPT
• Sarah Jolene Rucker
• William Allen Rucker II
• Kelly M Rudd, PHARM.D., BCPS

• Plastic and Reconstructive Surgery Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Plastic and Reconstructive Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.

Verify at the official NPI Registry.