Active NPI
Mark A Rubin, MD
- Colon & Rectal Surgery Physician
- Abilene, TX
National Provider Identifier
1821186453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 15728
- Practice address
- 6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262 - Phone
- (325) 428-5500
- Fax
- (325) 428-5519
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | 15728 | LA | Primary |
Addresses
Primary practice location
6250 Regional PLZ
Suite 1010
Abilene, TX 79606-5262
Mailing address
1680 Antilley Rd
Suite 110
Abilene, TX 79606-5267
Phone (325) 428-5600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962805 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15728 | LA | MD | Colon & Rectal Surgery Physician |
Practice roles
Organizations & group practices 2
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.
-
- Clinical Medical Laboratory
- Abilene, TX
- NPI 1174904551
-
- Cardiovascular Disease Physician
- Abilene, TX
- NPI 1639132251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1821186453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 ANTILLEY RD",
"address_2": "SUITE 110",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065267",
"telephone_number": "325-428-5600",
"fax_number": "325-428-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6250 REGIONAL PLZ",
"address_2": "SUITE 1010",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065262",
"telephone_number": "325-428-5500",
"fax_number": "325-428-5519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "LA",
"license": "15728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962805",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.