Active NPI
Blair I Reuben, MD
- Specialist
- Phoenix, AZ
National Provider Identifier
1619919453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 27349
- Practice address
- 9250 N. Third Street
Suite 4000
Phoenix, AZ 85020-2412 - Phone
- (602) 633-3800
- Fax
- (602) 861-3500
- NPI assigned
- Jun 12, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 27349 | AZ | Primary |
Addresses
Primary practice location
9250 N. Third Street
Suite 4000
Phoenix, AZ 85020-2412
Mailing address
9250 N Third Street
Suite 4000
Phoenix, AZ 85020-2412
Phone (602) 633-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 498106 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Associates, LTD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Phoenix, AZ
- NPI 1952334690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1619919453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9250 N THIRD STREET",
"address_2": "SUITE 4000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202412",
"telephone_number": "602-633-3800",
"fax_number": "602-861-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 N. THIRD STREET",
"address_2": "SUITE 4000",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850202412",
"telephone_number": "602-633-3800",
"fax_number": "602-861-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUBEN",
"first_name": "BLAIR",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "27349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "498106",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.