Individual provider Active NPI

Elyse Joan Rubenstein, MD

  • Rheumatology Physician
  • Santa Monica, CA
National Provider Identifier
1508895095
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A80939 Issued in CA
Practice address
1328 16TH St
Santa Monica, CA 90404-1804
Phone
(310) 256-2425
Fax
(310) 395-3218
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A80939 CA Primary

Addresses

Primary practice location

1328 16TH St
Santa Monica, CA 90404-1804

Mailing address

1328 16TH St
Santa Monica, CA 90404-1804
Phone (310) 256-2425

Other identifiers 1

IdentifierTypeStateIssuer
00A809390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050804000511 CA Practitioner - RheumatologyPractitioner - Internal Medicine 5193754737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1328 16TH St
Santa Monica, CA 90404-1804
Phone (310) 256-2425

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80939CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elyse Rubenstein MD, a Professional Corporation Current Accepting new patients
Elyse Rubenstein MD a Professional Corporation Rheumatology CurrentSince Dec 18, 2007 Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

1328 16th St
Santa Monica, CA 90404
Phone (310) 256-2425

1328 16th St
Fl 3
Santa Monica, CA 90404
Phone (310) 393-8860

Organizations & group practices 4

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 1

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1508895095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041804",
            "telephone_number": "310-256-2425",
            "fax_number": "310-395-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041804",
            "telephone_number": "310-256-2425",
            "fax_number": "310-395-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENSTEIN",
        "first_name": "ELYSE",
        "middle_name": "JOAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A80939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A809390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.