Individual provider Active NPI

William D. Rubin, M.D.

  • Medical Oncology Physician
  • Bellingham, WA
National Provider Identifier
1477550796
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD00030567 Issued in WA
Practice address
3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Phone
(360) 788-8222
Fax
(360) 788-7759
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD00030567 WA
Specialist 174400000X MD00030567 WA
Medical Oncology Physician 207RX0202X MD00030567 WA Primary

Addresses

Primary practice location

3301 Squalicum Pkwy
Bellingham, WA 98225-1919

Mailing address

1115 SE 164TH Ave
Dept 364
Vancouver, WA 98683-9324
Phone (360) 788-8222

Other practice location 1

808 N 39th Ave
Yakima, WA 98902-6388
Phone (509) 574-3400

Other identifiers 6

IdentifierTypeStateIssuer
0229981OtherWAL&I AND CRIME VICTIMS
8236358MedicaidWA
9285ROOtherWAREGENCE
0230383OtherWAL&I
5257668OtherWAAETNA
1235176264MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080512000749 WA Practitioner - Medical OncologyPractitioner - Internal Medicine 6800975194 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Washington University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

808 N 39TH Ave
Yakima, WA 98902-6388
Phone (509) 574-3400

Hospital & facility affiliations

  • Yakima Valley Memorial Hospital, Yakima, WA, CCN 500036
  • Kittitas Valley Community Hospital Hospital, Ellensburg, WA, CCN 501333

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00030567WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Memorial Physicians CurrentSince Oct 28, 2019 Accepting new patients
Public Hospital Dist No 1 Skagit Specialist CurrentSince Apr 30, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 11, 2018 Accepting new patients
Optum Care Washington PLLC CurrentSince May 13, 2019 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Apr 30, 2018 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince Oct 28, 2019 Accepting new patients
Optum Care Washington PLLC CurrentSince May 13, 2019 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Apr 11, 2018 Accepting new patients

Locations

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

808 N 39th Ave
Yakima, WA 98902
Phone (509) 574-3400

Organizations & group practices 9

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 2

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": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1477550796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPT 364",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SQUALICUM PKWY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251919",
            "telephone_number": "360-788-8222",
            "fax_number": "360-788-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 N 39th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989026388",
            "country_code": "US",
            "telephone_number": "509-574-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "WA",
            "license": "MD00030567",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00030567",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00030567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0229981",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8236358",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9285RO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0230383",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5257668",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235176264",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.