Individual provider Active NPI

Richard Rubin, MD

  • Obstetrics & Gynecology Physician
  • Concord, MA
National Provider Identifier
1326062019
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
235991 Issued in MA
Practice address
59 Ornac Ste 1
Concord, MA 01742-3317
Phone
(978) 369-7627
Fax
(978) 371-2240
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9502 NH
Obstetrics & Gynecology Physician 207V00000X 235991 MA Primary

Addresses

Primary practice location

59 Ornac Ste 1
Concord, MA 01742-3317

Mailing address

59 Ornac
Suite 1
Concord, MA 01742-3317
Phone (978) 369-7627

Other identifiers 2

IdentifierTypeStateIssuer
110080559MedicaidMA
30008462MedicaidNH

Other names 1

  • Richard Rubin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20081029000586 MA Practitioner - Obstetrics/Gynecology 2163438235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord OB/GYN Associates PCGroup PAC ID 0941278261, 5 clinicians

Practice addresses (Care Compare)

59 Old Rd to 9 Acre Cor
Suite 1
Concord, MA 01742-3317
Phone 9783710302217

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9502NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Concord OB/GYN Associates PC Obstetrics & Gynecology CurrentSince Aug 4, 2008 Accepting new patients
Premier Diagnostic Services, Inc CurrentSince Jan 1, 2008 Accepting new patients
Emerson Hospital Current Accepting new patients
Emerson Hospital Past Accepting new patients

Locations

59 Ornac
#1
Concord, MA 01742
Phone (978) 369-7627

59 Old Road To 9 Acre Cor
#1
Concord, MA 01742
Phone (978) 369-7627

490 Boston Post Rd
Ste 2004
Sudbury, MA 01776

Interoperability endpoints

  • Direct secure messaging: rubin.richard.epho@direct.partners.masshiway.net

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 and National Provider Directory roles.

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1326062019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 ORNAC",
            "address_2": "SUITE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627",
            "fax_number": "978-371-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ORNAC STE 1",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423317",
            "telephone_number": "978-369-7627",
            "fax_number": "978-371-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NH",
            "license": "9502",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "235991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110080559",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008462",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "RUBIN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Concord, MA

Sources for this page

Verify at the official NPI Registry.