Active NPI
Allan M Rubin, MD
- Otolaryngology Physician
- Sylvania, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35055273
- Practice address
- 5300 Harroun Rd
Suite 118
Sylvania, OH 43560-2182 - Phone
- (419) 824-1399
- Fax
- (419) 824-1455
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35055273 | OH | Primary |
Addresses
Primary practice location
5300 Harroun Rd
Suite 118
Sylvania, OH 43560-2182
Mailing address
5300 Harroun Rd
Suite 118
Sylvania, OH 43560-2182
Phone (419) 824-1399
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4198375 | Other | OH | AETNA |
| 503130025-00 | Other | OH | BWC |
| 000000317260 | Other | OH | ANTHEM |
| 502130025-022 | Other | OH | MMO |
| 503130025-018 | Other | OH | MMO |
| P00090521 | Other | OH | RRMC |
| 503130025-020 | Other | OH | MMO |
| 0658659 | Other | OH | BCMH |
| 910658 | Other | OH | UHC |
| 01140 | Other | OH | PARAMOUNT |
| 0658659 | Medicaid | OH | |
| 503130025 | Other | OH | HNFS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arubin13622@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055273 | OH | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Central Physicians | Otolaryngology | Current | Accepting new patients |
| Promedica Central Physicians | Current | Accepting new patients | |
| University of Toledo Physicians LLC | Past | Accepting new patients | |
| Emma L. Bixby Medical Center | Past | Accepting new patients | |
| University of Toledo Physicians, LLC | Past | Accepting new patients | |
| Pharmacy Counter LLC | Past | Accepting new patients | |
| Bixby Hospital | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711
200 E Russell Rd
Unit C
Tecumseh, MI 49286
Phone (517) 424-3883
501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734
650 Beaver Creek Cir
Ste 130
Maumee, OH 43537
Phone (419) 891-6210
2751 Bay Park Dr
Ste 300
Oregon, OH 43616
Phone (419) 690-7596
900 W South Boundary St
Bldg 9A
Perrysburg, OH 43551
Phone (419) 872-3010
5300 Harroun Rd
Ste 218
Sylvania, OH 43560
Phone (419) 824-1399
5308 Harroun Rd
Ste 160
Sylvania, OH 43560
Phone (419) 824-5668
5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
1 Seagate
#800
Toledo, OH 43604
Phone (567) 585-1964
2121 Hughes Dr
Ste 710
Toledo, OH 43606
Phone (419) 291-2610
3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112
100 Madison Ave
Toledo, OH 43604
Phone (567) 585-1964
Interoperability endpoints
- https://api.platform.athenahealth.com/9641/brand/2/csg/1/fhir/r4
Organizations & group practices 8
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.
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Oxygen Equipment & Supplies (DME)
- Lorain, OH
- NPI 1225549819
-
- Internal Medicine Physician
- Toledo, OH
- NPI 1942296033
-
- Sports Medicine (Family Medicine) Physician
- Toledo, OH
- NPI 1215240676
-
- Clinical Medical Laboratory
- Adrian, MI
- NPI 1407275696
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1528060456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 HARROUN RD",
"address_2": "SUITE 118",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602182",
"telephone_number": "419-824-1399",
"fax_number": "419-824-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 HARROUN RD",
"address_2": "SUITE 118",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602182",
"telephone_number": "419-824-1399",
"fax_number": "419-824-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "ALLAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35055273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4198375",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "503130025-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000317260",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "502130025-022",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "503130025-018",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00090521",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMO",
"identifier": "503130025-020",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0658659",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "910658",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "01140",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0658659",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNFS",
"identifier": "503130025",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arubin13622@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.