Mark Tague Rubertus, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25954 Issued in OK

Practice address

1127 S George Nigh Expy
McAlester, OK 74501-7143

Phone

(918) 423-8400

Fax

(918) 423-0033

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2020 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mark.rubertus@214522098548740.direct.elationemr.com

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.

• Arkansas Gatewood Emergency Room Services, PA

  • Emergency Medicine Physician
  • Fayetteville, AR
  • NPI 1750334603
  NPD (past)
• Immediate Health Associates

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1639123193
  NPD (past)
• QHG of Springdale Inc

  • Neonatal-Perinatal Medicine Physician
  • Springdale, AR
  • NPI 1730292434
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1467490235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 GEORGE NIGH EXPRESSWAY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "74501",
            "telephone_number": "918-423-8400",
            "fax_number": "918-423-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 S GEORGE NIGH EXPY",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745017143",
            "telephone_number": "918-423-8400",
            "fax_number": "918-423-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBERTUS",
        "first_name": "MARK",
        "middle_name": "TAGUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "25954",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ross Hospice of Chickasha LLC
• Lavonne Kay Ross, PRSS
• Mary Martha Ross, B.A.
• Amber N Rosson
• Alice Rane' Routledge, LPC, CASE MANAGER
• Erika Lee Ruegamer
• Megan Renae Rumsey, BA
• Kami Runyon
• Rustling Winds Inc
• RWL, LLC

• Family Medicine Physician in McAlester, OK
• Providers in McAlester, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.