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Individual provider Active NPI

Stephanie Marie Rubino, MD

  • Urology Physician
  • Latrobe, PA
National Provider Identifier
1669607693
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD452020 Issued in PA
Practice address
911 Ligonier St Ste 104
Latrobe, PA 15650-1805
Phone
(724) 539-9736
Fax
(724) 539-2836
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD452020 PA Primary

Addresses

Primary practice location

911 Ligonier St Ste 104
Latrobe, PA 15650-1805

Mailing address

911 Ligonier St Ste 104
Latrobe, PA 15650-1805
Phone (724) 539-9736

Other identifiers 2

IdentifierTypeStateIssuer
003057855OtherPABLUE SHIELD
359536OtherPAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140825001654 PA Practitioner - Urology 4486872959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G. U., Inc.Group PAC ID 6800782178, 3 clinicians

Practice addresses (Care Compare)

1 Mellon Way
Latrobe, PA 15650-1197
Phone (724) 537-1000

522 W Newton St
Suite 300
Greensburg, PA 15601-2820
Phone (724) 838-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G. U., Inc. Urology CurrentSince Sep 1, 2014 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Excela Health Physician Practices, Inc. CurrentSince Feb 1, 2026 Accepting new patients
Excela Health Physician Practices, Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

522 W Newton St
Ste 300
Greensburg, PA 15601
Phone (724) 838-7500

532 W Pittsburgh St
Greensburg, PA 15601
Phone (724) 832-4000

911 Ligonier St
Ste 104
Latrobe, PA 15650
Phone (724) 539-9736

1 Mellon Way
Latrobe, PA 15650
Phone (724) 537-1207

600 Ligonier St
Latrobe, PA 15650
Phone (724) 537-5358

Interoperability endpoints

  • Direct secure messaging: srubino@direct.excelahealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1669607693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST STE 104",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-539-9736",
            "fax_number": "724-539-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 LIGONIER ST STE 104",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156501805",
            "telephone_number": "724-539-9736",
            "fax_number": "724-539-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD452020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "003057855",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "359536",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latrobe, PA

Sources for this page

Verify at the official NPI Registry.