Individual provider Active NPI

Scott Alvin Rubin, M.D.

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1528169448
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6160 Issued in NV
Practice address
5440 West Sahara
Ste 202
Las Vegas, NV 89146
Phone
(702) 380-8200
Fax
(702) 380-3220
NPI assigned
Sep 25, 2006
Last updated
May 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

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 6160 NV Primary

Addresses

Primary practice location

5440 West Sahara
Ste 202
Las Vegas, NV 89146

Mailing address

5440 West Sahara
Ste 202
Las Vegas, NV 89146
Phone (702) 380-8200

Other identifiers 1

IdentifierTypeStateIssuer
002019122MedicaidNV

Other names 1

  • Dr. Scott Alvin Rubin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20040824001323 NV Practitioner - PsychiatryPractitioner - Neurology 2769456797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
University of California, San Francisco School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scott a Rubin PCGroup PAC ID 6709910029, 2 clinicians

Practice addresses (Care Compare)

901 Adams Blvd
Boulder City, NV 89005-2213
Phone (702) 293-4111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6160NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott a. Rubin PC Psychiatry CurrentSince Apr 30, 2003 Accepting new patients
We Care Health Care LLC Past Accepting new patients
G Brent Dennis Inc Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients

Locations

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

3022 S Durango Dr
Ste 100
Las Vegas, NV 89117
Phone (702) 210-9423

5440 W Sahara Ave
Ste 202
Las Vegas, NV 89146
Phone (702) 296-4844

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1528169448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 WEST SAHARA",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-380-8200",
            "fax_number": "702-380-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 WEST SAHARA",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-380-8200",
            "fax_number": "702-380-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SCOTT",
        "middle_name": "ALVIN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019122",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "RUBIN",
            "middle_name": "ALVIN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.