Individual provider Active NPI

Riyadh Al-Rubaye, MD

  • Hospitalist Physician
  • Gainesville, GA
National Provider Identifier
1639433741
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
74165 Issued in GA
Practice address
743 Spring St NE
Gainesville, GA 30501
Phone
(770) 219-9000
NPI assigned
Jul 3, 2012
Last updated
Dec 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 074165 GA
Hospitalist Physician 208M00000X 74165 GA Primary

Addresses

Primary practice location

743 Spring St NE
Gainesville, GA 30501

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 219-8420

Other practice location 1

303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 265-4000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ralrubaye125235@directwellstar.org
Direct Messaging Address ralrubae92263@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20151023001403 GA Practitioner - HospitalistPractitioner - Internal Medicine 4587973086 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

575 Professional Dr
Suite 360
Lawrenceville, GA 30046-3399
Phone (404) 731-6033

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74165GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Jan 25, 2016 Accepting new patients
Georgia Kidney Clinic LLC Current Accepting new patients
Georgia Hospitalists Group, LLC Hospitalist CurrentSince Jan 25, 2016 Accepting new patients
Northeast Georgia Physicians Group Inc Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Georgia Kidney Clinic LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000

2725 Hamilton Mill Rd
Ste 500
Buford, GA 30519
Phone (678) 889-2593

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

575 Professional Dr
Ste 360
Lawrenceville, GA 30046
Phone (404) 731-6033

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: ralrubae92263@nghs.gadirect.net
  • Direct secure messaging: ralrubaye125235@directwellstar.org
  • Direct secure messaging: ralrubaye2021238@direct.trinity-health.org
  • Direct secure messaging: riyadhrabeea.alrubaye.p48@direct.tenet.nextgenshare.com
  • Direct secure messaging: riyadhrabeea.alrubaye.p50@direct.tenet.nextgenshare.com

Organizations & group practices 5

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 6

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1639433741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-219-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 SPRING ST NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-219-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Parkway Dr NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303121212",
            "country_code": "US",
            "telephone_number": "404-265-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL-RUBAYE",
        "first_name": "RIYADH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "074165",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "74165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralrubaye125235@directwellstar.org",
            "affiliation": "N",
            "address_1": "303 Parkway Dr NE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303121212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralrubae92263@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "743 Spring St NE",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.