Active NPI
Martin H Rubin MD PLLC
- Internal Medicine Physician
- Mesa, AZ
National Provider Identifier
1649456914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- AZ12996
- Legal business name
- MARTIN H RUBIN MD PLLC
- Practice address
- 7525 E Broadway Rd
Suite #1
Mesa, AZ 85208-2002 - Phone
- (480) 839-7627
- Fax
- (480) 839-7643
- NPI assigned
- Jan 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin H Rubin, MD
- Title
- President
- Phone
- (480) 839-7627
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | AZ12996 | AZ | Primary |
Addresses
Primary practice location
7525 E Broadway Rd
Suite #1
Mesa, AZ 85208-2002
Mailing address
7525 E Broadway Rd
Suite #1
Mesa, AZ 85208-2002
Phone (480) 839-7627
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0037030 | Other | AZ | BCBS AZ |
| AZ7216 | Other | AZ | HEALTHNET OF AZ |
| 860527535 | Other | AZ | TRICARE |
| 226432 | Medicaid | AZ | |
| 110005756 | Other | AZ | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
7525 E Broadway Rd
Ste 1
Mesa, AZ 85208
Phone (480) 839-7627
2733 N Power Rd
Ste 102
Mesa, AZ 85215
Phone (480) 839-7627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228176000000",
"number": "1649456914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 E BROADWAY RD",
"address_2": "SUITE #1",
"city": "MESA",
"state": "AZ",
"postal_code": "852082002",
"telephone_number": "480-839-7627",
"fax_number": "480-839-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 E BROADWAY RD",
"address_2": "SUITE #1",
"city": "MESA",
"state": "AZ",
"postal_code": "852082002",
"telephone_number": "480-839-7627",
"fax_number": "480-839-7643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN H RUBIN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-12-02",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-839-7627",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "AZ",
"license": "AZ12996",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AZ",
"identifier": "AZ0037030",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF AZ",
"identifier": "AZ7216",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "860527535",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "226432",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110005756",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.