Active NPI
J Paul Rubin, M.D.
- Diagnostic Radiology Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G55160
- 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, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0324990 | Other | AZ | BCBS |
| 1Z7049 | Other | AZ | HEALTHNET |
| 293283 | Other | AZ | AHCCCS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL, TX, CA, NY, DE, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
- Christiana Care Health Services Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| TP801 | KY | MD | Pediatric Orthopaedic Surgery Physician |
| 18577 | AZ | MD | Anatomic Pathology & Clinical Pathology Physician |
| G55160 | CA | MD | Diagnostic Radiology Physician |
| 91827 | SC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| El Paso County Hospital District | Family Medicine | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Interfaith Professional Physician Services, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Family Medicine | Current | Accepting new patients |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Family Medicine | Current | Accepting new patients |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Humboldt Park Health | Family Medicine | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Dickinson County Healthcare System | Family Medicine | Current | Accepting new patients |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Carle Bromenn Medical Center | Current | 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 | Past | 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
- 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.
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Diagnostic Radiology
-
dba UMC Radiology
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1437170313
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
dba Cmi
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
AZ
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
AZ
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
dba Bromenn Family Health Clinic
- Clinic/Center
- Normal, IL
- NPI 1104442615
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Psychiatric Hospital Unit
- Cheboygan, MI
- NPI 1336897735
-
- General Acute Care Hospital
- Petoskey, MI
- NPI 1992812580
-
dba Presbyterian Hospital
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
dba Presbyterian Kaseman Psych Unit
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.