Organization Active NPI

Naperville Pediatric Associates

  • Pediatrics Physician
  • Naperville, IL
National Provider Identifier
1467575019
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
060.001145 Issued in IL
Legal business name
NAPERVILLE PEDIATRIC ASSOCIATES
Practice address
1012 95TH St Ste 7
Naperville, IL 60564-5040
Phone
(630) 357-1030
Fax
(630) 357-8027
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Authorized official

Name
Dr. Ira Steven Rubin, M.D.NPI 1104824549
Title
Partner
Phone
(630) 357-1030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 060.001145 IL Primary

Addresses

Primary practice location

1012 95TH St Ste 7
Naperville, IL 60564-5040

Mailing address

1012 95TH St Ste 7
Naperville, IL 60564-5040
Phone (630) 357-1030

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0421883Naperville Pediatric Associates1012 95TH Street #7, Naperville, IL 60564Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

10 Martin Ave
Ste 2
Naperville, IL 60540
Phone (630) 357-1030

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1467575019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 95TH ST STE 7",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645040",
            "telephone_number": "630-357-1030",
            "fax_number": "630-357-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST STE 7",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645040",
            "telephone_number": "630-357-1030",
            "fax_number": "630-357-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "630-357-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "060.001145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.