David A Rubin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

115274 Issued in MO

Practice address

750 Old Hickory Blvd Ste 1-260
Brentwood, TN 37027-4528

Phone

(615) 376-7500

Fax

(615) 376-7575

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO, TN2 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

Specialty

Diagnostic Radiology

Education

Perelman School of Med at the University of Pennsylvania, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Orthopaedic Group LLPGroup PAC ID 9335042811, 91 clinicians

Imaging Specialists PLLCGroup PAC ID 0143218560, 39 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Columbia Orthopaedic Group, LLP

  • Orthopaedic Surgery Physician
  • Columbia, MO
  • NPI 1851392542
  Medicare reassignment Care Compare group NPD
• Imaging Specialists PLLC

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1659340636
  Medicare reassignment Care Compare group
• Columbia Orthopaedic Group, LLP

  • Durable Medical Equipment & Medical Supplies
  • Osage Beach, MO
  • NPI 1942986484
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1780778019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LAFAYETTE DR STE 401",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306864",
            "telephone_number": "888-343-6337",
            "fax_number": "658-481-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 OLD HICKORY BLVD STE 1-260",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274528",
            "telephone_number": "615-376-7500",
            "fax_number": "615-376-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "115274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209811207",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Allen Rowles, MS OTR/L
• Jacob Rowzee, CNIM
• Noah Roy
• Karla Ann Royster, DC
• RPM Rebah, Inc (Back On Track)
• Glen Russell Rubin, CNIM
• Ruby Consulting, LLC (Ruby Mental Wellness)
• Dana Anslie Ruckman
• Randall L Rudolph, DDS
• Sophia Rudow, RN, NTP

• Diagnostic Radiology Physician in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Diagnostic Radiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.

Verify at the official NPI Registry.