Individual provider Active NPI

Howard Alan Rubin, MD

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1558544775
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H6566 Issued in TX
Practice address
12890 Hillcrest Rd
Ste. 203
Dallas, TX 75230-1504
Phone
(972) 386-9600
Fax
(972) 386-9994
NPI assigned
Dec 11, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H6566 TX Primary

Addresses

Primary practice location

12890 Hillcrest Rd
Ste. 203
Dallas, TX 75230-1504

Mailing address

12890 Hillcrest Rd
Ste. 203
Dallas, TX 75230-1504
Phone (972) 386-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120118000147 TX Practitioner - Dermatology 2860669785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

12740 Hillcrest Rd
Suite 200
Dallas, TX 75230-2012
Phone (972) 386-9600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1676
Removal or shaving of skin growth13
Skin biopsy570

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6566TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Nov 22, 2018 Accepting new patients

Locations

4330 N Josey LN
Ste 100
Carrollton, TX 75010

12740 Hillcrest Rd
Ste 200
Dallas, TX 75230
Phone (972) 386-9600

5310 Harvest Hill Rd
Ste 130
Dallas, TX 75230
Phone (214) 919-3133

6117 Berkshire Ln
Dallas, TX 75225
Phone (214) 373-3376

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1558544775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12890 HILLCREST RD",
            "address_2": "STE. 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301504",
            "telephone_number": "972-386-9600",
            "fax_number": "972-386-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12890 HILLCREST RD",
            "address_2": "STE. 203",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301504",
            "telephone_number": "972-386-9600",
            "fax_number": "972-386-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "HOWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H6566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.