Individual provider Active NPI

Leon Rubenfaer, MD

  • Psychiatry Physician
  • Farmington Hills, MI
National Provider Identifier
1487632345
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301027683 Issued in MI
Practice address
30445 Northwestern Hwy
Ofc 145
Farmington Hills, MI 48334-3174
Phone
(248) 702-0999
Fax
(248) 702-0995
NPI assigned
Jan 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301027683 MI Primary

Addresses

Primary practice location

30445 Northwestern Hwy
Ofc 145
Farmington Hills, MI 48334-3174

Mailing address

5034 Far Ravine CT
West Bloomfield, MI 48323-2414

Other identifiers 3

IdentifierTypeStateIssuer
2626300111OtherMIBCBSM
382691279OtherMITAX ID
2832295MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000752 MI Practitioner - Psychiatry 4880684596 Practice locations: Farmington Hills, MI; Royal Oak, MI; Southfield, MI

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wayne State University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30445 Northwestern Hwy
Ofc 145
Farmington Hills, MI 48334-3174
Phone (248) 702-0999

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301027683MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Point-Pioneer, Inc Past Accepting new patients
Southfield Radiology Associates PLLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1487632345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 FAR RAVINE CT",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30445 NORTHWESTERN HWY",
            "address_2": "OFC 145",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343174",
            "telephone_number": "248-702-0999",
            "fax_number": "248-702-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENFAER",
        "first_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301027683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "2626300111",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382691279",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832295",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.