Samuel Mark Ruben, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A35819 Issued in CA

Practice address

900 Leilani St
Hilo, HI 96720-7512

Phone

(808) 430-2596

Fax

(808) 934-9360

NPI assigned

Mar 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI, CA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hilo Urgent Care Center, LLC

  • Urgent Care Clinic/Center
  • Hilo, HI
  • NPI 1487750089
  Medicare reassignment NPD
• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Waimea, HI
  • NPI 1245269976
  Medicare reassignment NPD
• County of del Norte

  dba DHHS Behavioral Health Branch

  • Community/Behavioral Health Agency
  • Crescent City, CA
  • NPI 1790801116
  Medicare reassignment NPD
• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Kapa'a, HI
  • NPI 1891098513
  NPD
• Ku Aloha Ola Mau

  • Counselor
  • Honolulu, HI
  • NPI 1376553107
  NPD (past)
• Brookings Harbor Medical Center P C

  • Family Medicine Physician
  • Brookings, OR
  • NPI 1912944067
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1679606156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2176 KAIWIKI RD",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967209722",
            "telephone_number": "808-430-2596",
            "fax_number": "808-934-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LEILANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207512",
            "telephone_number": "808-430-2596",
            "fax_number": "808-934-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEN",
        "first_name": "SAMUEL",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD5759",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A35819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME#",
            "identifier": "03006790878",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084538",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna M. Rowe, MD
• Duane Arthur Rowe, O.D.
• Robert M. Rowe, MD
• Roy M Koga M D Inc
• Zachery Lennon Royer, PHARM D.
• Heajung Ruesing, MD
• Greg W Ruhland, MD
• Shauna Ka'Iulani Russell, D.P.T.
• Ruth M. Ohata, DMD, Inc.
• Kristina L Ryan, MA MFT

• Public Health & General Preventive Medicine Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Public Health & General Preventive Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.