Active NPI
Ivan Rubiano, DPM
- Foot & Ankle Surgery Podiatrist
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 0103301173
- Practice address
- 222 Walnut Ave SW
Roanoke, VA 24016-4723 - Phone
- (540) 344-3668
- NPI assigned
- May 7, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 0103301173 | VA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3780 | FL |
Addresses
Primary practice location
222 Walnut Ave SW
Roanoke, VA 24016-4723
Mailing address
222 Walnut Ave SW
Roanoke, VA 24016-4723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Dudley St
Martinsville, VA 24112-1905
Phone (540) 344-3668
1802 Braeburn Dr
Suite A2130
Salem, VA 24153-7357
Phone (540) 344-3668
222 Walnut Ave SW
Roanoke, VA 24016-4723
Phone (540) 344-3668
66 Pkwy LN
Suite 102
Fishersville, VA 22939-2385
Phone (540) 949-5150
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.95 of 100
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 154 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 463 |
| Removal or shaving of skin growth | 216 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO3780 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot and Ankle Specialists of the Mid-Atlantic, LLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Mt Washington Pediatric Hospital Inc | Past | Accepting new patients |
Locations
66 Parkway Ln
Ste 102
Fishersville, VA 22939
Phone (540) 949-5150
1 Arh Ln
Ste 101
Low Moor, VA 24457
Phone (304) 647-5652
1 Dudley St
Martinsville, VA 24112
Phone (276) 638-5128
101 1st St NW
Pulaski, VA 24301
Phone (276) 322-1800
60 Summerfield Ct
#102
Roanoke, VA 24019
Phone (540) 904-1458
222 Walnut Ave SW
Roanoke, VA 24016
Phone (540) 344-3668
150 Spartan Dr
Salem, VA 24153
Phone (540) 382-4221
1802 Braeburn Dr
Ste A2130
Salem, VA 24153
Phone (540) 344-3668
1802 Braeburn Dr
Ste M120
Salem, VA 24153
Phone (540) 344-3668
Organizations & group practices 3
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.
-
- Podiatrist
- Raleigh, NC
- NPI 1073804712
Foot & Ankle Surgery, VA
-
- Podiatrist
- Concord, NC
- NPI 1255213997
Foot & Ankle Surgery
-
- Special Hospital
- Baltimore, MD
- NPI 1093871329
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lewisgale Medical Center
- General Acute Care Hospital
- Salem, VA
- NPI 1619914785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462579200000",
"number": "1689020703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 WALNUT AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 WALNUT AVE SW",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240164723",
"telephone_number": "540-344-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIANO",
"first_name": "IVAN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-07",
"last_updated": "2016-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "VA",
"license": "0103301173",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.