Individual provider Active NPI

Rubena J Smith, M.D

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1649687567
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME148121 Issued in FL
Practice address
4502 Cortez Rd W Ste 200
Bradenton, FL 34210-3124
Phone
(941) 782-8529
Fax
(941) 201-4708
NPI assigned
Jul 14, 2014
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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 131025 OH
Internal Medicine Physician 207R00000X ME148121 FL Primary

Addresses

Primary practice location

4502 Cortez Rd W Ste 200
Bradenton, FL 34210-3124

Mailing address

4502 Cortez Rd W Ste 200
Bradenton, FL 34210-3124
Phone (941) 782-8529

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201216000256 FL Practitioner - Internal Medicine 5092089920 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

14243 Tamiami TRL
North Port, FL 34287-2215
Phone (941) 888-2144

4502 Cortez Rd W
Bradenton, FL 34210-3124
Phone (917) 848-2701

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME148121FLMDInternal Medicine Physician
131025OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Can Community Health, Inc. Internal Medicine CurrentSince Dec 15, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jan 8, 2021 Accepting new patients
Can Community Health Inc. CurrentSince Dec 15, 2025 Accepting new patients
MCR Health, Inc. CurrentSince Jan 8, 2021 Accepting new patients
RS. VA Holdings LLC Internal Medicine CurrentSince May 5, 2023 Accepting new patients

Locations

4502 Cortez Rd W
Bradenton, FL 34210
Phone (917) 848-2701

4502 Cortez Rd W
Ste 200
Bradenton, FL 34210
Phone (941) 782-8529

14243 Tamiami Trl
North Port, FL 34287
Phone (941) 429-3180

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1231 N Tuttle Ave
Sarasota, FL 34237
Phone (941) 366-0134

1949 Northgate Blvd
Sarasota, FL 34234
Phone (941) 359-2452

Organizations & group practices 6

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1649687567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103124",
            "telephone_number": "941-782-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 CORTEZ RD W STE 200",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103124",
            "telephone_number": "941-782-8529",
            "fax_number": "941-201-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUBENA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "131025",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.