Individual provider Active NPI

J Paul Rubin, M.D.

  • Diagnostic Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1720036312
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G55160 Issued in CA
Practice address
11209 N Tatum Blvd
Suite # 110
Phoenix, AZ 85028-3091
Phone
(602) 248-8002
Fax
(602) 248-8399
NPI assigned
May 5, 2006
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C1-0026778 DE
Diagnostic Radiology Physician 2085R0202X 18577 AZ
Diagnostic Radiology Physician 2085R0202X 91827 SC
Diagnostic Radiology Physician 2085R0202X G55160 CA Primary

Addresses

Primary practice location

11209 N Tatum Blvd
Suite # 110
Phoenix, AZ 85028-3091

Mailing address

PO Box 14687
Scottsdale, AZ 85267-4687
Phone (480) 991-8100

Other practice location 1

4755 Ogletown Stanton Road
Newark, DE 19718-2200
Phone (302) 733-1840

Other identifiers 3

IdentifierTypeStateIssuer
AZ0324990OtherAZBCBS
1Z7049OtherAZHEALTHNET
293283OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL, TX, CA, NY, DE, NM7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20040614001324 AZ Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 11 organizations
I20240404003474 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436056215 Reassigns benefits to 7 organizations
I20240426001274 TX Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 5 organizations
I20240520002609 CA Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 3 organizations
I20240820000140 NY Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 2 organizations
I20240829001659 DE Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 1 organization
I20241122004348 NM Practitioner - Diagnostic Radiology 9436056215 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians

Practice addresses (Care Compare)

Scottsdale, AZ 85262
Phone (903) 663-4800

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 775-8200

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

28535 N 114TH PL
Scottsdale, AZ 85262-4720
Phone (302) 744-7113

4300 E Taurus PL
Chandler, AZ 85249-5807
Phone (773) 292-8200

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

7310 N Shadow Mountain Rd
Paradise Valley, AZ 85253-3302
Phone (559) 256-1975

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP801KYMDPediatric Orthopaedic Surgery Physician
18577AZMDAnatomic Pathology & Clinical Pathology Physician
G55160CAMDDiagnostic Radiology Physician
91827SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Dec 1, 2025 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 1, 2025 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
La Paz Regional Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Carle Bromenn Medical Center CurrentSince Mar 25, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Carle Eureka Hospital CurrentSince Mar 25, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince May 1, 2024 Accepting new patients
El Paso County Hospital District Family Medicine CurrentSince Mar 19, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jun 20, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Carle West Physician Group Inc Family Medicine CurrentSince Mar 25, 2024 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Jun 20, 2024 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jan 24, 2024 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jan 24, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Mar 19, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Dec 7, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Dec 7, 2024 Accepting new patients
Humboldt Park Health Family Medicine CurrentSince Apr 15, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 1, 2024 Accepting new patients
Nor-Lea Hospital District CurrentSince Oct 17, 2024 Accepting new patients
Dickinson County Healthcare System Family Medicine CurrentSince Mar 28, 2026 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince May 1, 2024 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Aug 1, 2024 Accepting new patients
Carle Bromenn Medical Center CurrentSince Mar 25, 2024 Accepting new patients
Arizona Diagnostic & Surgical Center, Inc Past Accepting new patients
Analytic Medical Imaging, LTD Diagnostic Radiology Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology PastSince Sep 17, 2015 Accepting new patients
Phoenix Diagnostic Imaging, Inc Past Accepting new patients
Michigan Radiology PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 31)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

2300 N Rockton Ave
Rockford, IL 61103

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jrubin1170072@direct.llu.edu

Organizations & group practices 48

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.

View all 48

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1720036312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14687",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852674687",
            "telephone_number": "480-991-8100",
            "fax_number": "480-922-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD",
            "address_2": "SUITE # 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283091",
            "telephone_number": "602-248-8002",
            "fax_number": "602-248-8399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_purpose": "LOCATION",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "J",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0026778",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "18577",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "91827",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G55160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0324990",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z7049",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "293283",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.