Individual provider Active NPI

Jonathan D Rubin, MD

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1659317402
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD055712L Issued in PA
Practice address
1701 Augustine Cut Off
Building 4
Wilmington, DE 19803-4415
Phone
(877) 990-2121
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD055712L PA Primary
Vascular & Interventional Radiology Physician 2085R0204X MD055712L PA

Addresses

Primary practice location

1701 Augustine Cut Off
Building 4
Wilmington, DE 19803-4415

Mailing address

1701 Augustine Cut Off Ste 100
Building 4
Wilmington, DE 19803-4425
Phone (877) 990-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050506000338 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0941240121 Reassigns benefits to 5 organizations
I20130731000226 DE Practitioner - Diagnostic Radiology 0941240121 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Stony Brook, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Radiology Associates PAGroup PAC ID 1557620036, 61 clinicians
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians
Maryland Imaging Network PCGroup PAC ID 6103259304, 79 clinicians
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

2055 Limestone Rd
Wilmington, DE 19808-5536
Phone (877) 990-2121

24 Omega Dr
Newark, DE 19713-6020
Phone (302) 738-9100

25 Founders Way
Downingtown, PA 19335-4520
Phone (469) 925-2709

2660 Allen Glen Dr
Mechanicsburg, PA 17055-5996
Phone (443) 436-1116

3206 Concord Pike
Wilmington, DE 19803-5015
Phone (302) 654-5300

3401 Brandywine Pkwy
Wilmington, DE 19803-1554
Phone (302) 533-2160

40 Polly Drummond Hill Rd
BLDG 4
Newark, DE 19711-5703
Phone (302) 737-5990

710 S Queen St
Delaware Imaging Network
Dover, DE 19904-3567
Phone (302) 734-9888

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.08 of 100Reported as group
Quality
62.84
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
75
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD027340EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 18, 2017 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Abby Medical, LLC CurrentSince Aug 26, 2013 Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Jun 25, 2019 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients

Locations

6L Omega Dr
Newark, DE 19713
Phone (302) 368-8150

1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240

40 Polly Drummond Hill Rd
Bldg 4
Newark, DE 19711
Phone (302) 737-5990

1701 Augustine Cut Off
Ste 100
Wilmington, DE 19803
Phone (302) 366-5895

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

1701 Augustine Cut Off
Ste 4
Wilmington, DE 19803
Phone (302) 652-3016

1701 Augustine Cut Off
Wilmington, DE 19803
Phone (302) 652-3016

1020 N Union St
Wilmington, DE 19805
Phone (302) 427-9855

3105 Limestone Rd
Ste 106
Wilmington, DE 19808
Phone (302) 995-2037

2055 Limestone Rd
Ste 104
Wilmington, DE 19808
Phone (302) 633-6200

3206 Concord Pike
Wilmington, DE 19803
Phone (302) 654-5300

29493 Network Pl
Chicago, IL 60673

27443 Network Pl
Chicago, IL 60673

27424 Network Pl
Chicago, IL 60673

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1659317402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF STE 100",
            "address_2": "BUILDING 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034425",
            "telephone_number": "877-990-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 AUGUSTINE CUT OFF",
            "address_2": "BUILDING 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198034415",
            "telephone_number": "877-990-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JONATHAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD055712L",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD055712L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.