Active NPI
Marian R Rubenfeld, MD
- Ophthalmology Physician
- Minneapolis, MN
National Provider Identifier
1780688267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 30299
- Practice address
- 825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708 - Phone
- (612) 338-4861
- Fax
- (612) 333-8306
- NPI assigned
- Jun 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 30299 | MN | Primary |
Addresses
Primary practice location
825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708
Mailing address
825 Nicollet Mall
Ste 2000
Minneapolis, MN 55402-2708
Phone (612) 338-4861
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0822548 | Other | MN | SELECTCARE |
| 7D643RU | Other | MN | BLUE SHIELD |
| 31527900 | Other | MN | WISCONSIN MEDICAL ASSISTA |
| 00646001 | Other | MN | PREFERRED ONE |
| 0800038 | Other | MN | MEDICA PRIMARY |
| 1021630002 | Other | MN | ADMINISTAR FEDERAL |
| 200002101436 | Other | MN | METROPOLITAN HEALTH PLAN |
| 0822548 | Other | MN | MEDICA CHOICE |
| HP14286 | Other | MN | HEALTHPARTNERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30299 | MN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780688267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "STE 2000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022708",
"telephone_number": "612-338-4861",
"fax_number": "612-333-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NICOLLET MALL",
"address_2": "STE 2000",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554022708",
"telephone_number": "612-338-4861",
"fax_number": "612-333-8306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBENFELD",
"first_name": "MARIAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "30299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECTCARE",
"identifier": "0822548",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "7D643RU",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN MEDICAL ASSISTA",
"identifier": "31527900",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "00646001",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "0800038",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADMINISTAR FEDERAL",
"identifier": "1021630002",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METROPOLITAN HEALTH PLAN",
"identifier": "200002101436",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "0822548",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP14286",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.