Active NPI
Jonathan Rubin, MD
- Diagnostic Radiology Physician
- Columbus, OH
National Provider Identifier
1548285620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35-07-8411
- Practice address
- 471 E Broad St
Suite 1400
Columbus, OH 43215-3842 - Phone
- (614) 221-3303
- NPI assigned
- Jul 12, 2006
- Last updated
- Jun 24, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 35-07-8411 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35-07-8411 | OH | Primary |
Addresses
Primary practice location
471 E Broad St
Suite 1400
Columbus, OH 43215-3842
Mailing address
1331 N Elm St
Suite 200
Greensboro, NC 27401-6302
Phone (336) 274-9617
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000226440 | Other | OH | ANTHEM |
| 2309317 | Medicaid | OH | |
| 2806775 | Other | OH | AETNA |
| 1603252 | Other | OH | UNITED HEALTHCARE |
| 64048952 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1548285620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 N ELM ST",
"address_2": "SUITE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274016302",
"telephone_number": "336-274-9617",
"fax_number": "336-482-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 E BROAD ST",
"address_2": "SUITE 1400",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432153842",
"telephone_number": "614-221-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "JONATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"license": "35-07-8411",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35-07-8411",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000226440",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2309317",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2806775",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1603252",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64048952",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.