Individual provider Active NPI

Renee Rubinstein, MD

  • Family Medicine Physician
  • Coraopolis, PA
National Provider Identifier
1619102233
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD446687 Issued in PA
Practice address
170 Old Beaver Grade Rd
Coraopolis, PA 15108-5100
Phone
(412) 788-4447
Fax
(412) 788-4443
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT195680 PA
Family Medicine Physician 207Q00000X MD446687 PA Primary

Addresses

Primary practice location

170 Old Beaver Grade Rd
Coraopolis, PA 15108-5100

Mailing address

1218 3Rd Ave
New Brighton, PA 15066
Phone (724) 846-1430

Other practice location 1

1218 3rd Ave
New Brighton, PA 15066
Phone (724) 846-1430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140925001391 PA Practitioner - Family Practice 3173771995 Practice locations: Coraopolis, PA; New Brighton, PA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

170 Old Beaver Grade Rd
Coraopolis, PA 15108-5100
Phone (412) 788-4447

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT195680PAMDFamily Medicine Physician

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1619102233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 3RD AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "15066",
            "telephone_number": "724-846-1430",
            "fax_number": "724-846-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD BEAVER GRADE RD",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151085100",
            "telephone_number": "412-788-4447",
            "fax_number": "412-788-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1218 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "PA",
            "postal_code": "15066",
            "country_code": "US",
            "telephone_number": "724-846-1430",
            "fax_number": "724-846-1249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT195680",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD446687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.