Active NPI
Don Rubino, M.D.
- Pediatrics Physician
- Flint, MI
National Provider Identifier
1417940057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301029987
- Practice address
- 1453 Hickory Hollow Dr
Flint, MI 48532-2057 - Phone
- (810) 733-8187
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301029987 | MI | Primary |
Addresses
Primary practice location
1453 Hickory Hollow Dr
Flint, MI 48532-2057
Mailing address
1453 Hickory Hollow Dr
Flint, MI 48532-2057
Phone (810) 733-8187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350B511580 | Other | MI | BCBS OF MICHIGAN |
| 4425242 | Medicaid | MI |
Other names 1
- Don Marino Rubino
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160411000958 | MI | Order and Referring Only - Pediatric Medicine | 9234437187 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301029987 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1417940057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 HICKORY HOLLOW DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485322057",
"telephone_number": "810-733-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 HICKORY HOLLOW DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485322057",
"telephone_number": "810-733-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "DON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301029987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "350B511580",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4425242",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DON",
"last_name": "RUBINO",
"middle_name": "MARINO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.