Individual provider Active NPI

Mark A Rubin, MD

  • Colon & Rectal Surgery Physician
  • Abilene, TX
National Provider Identifier
1821186453
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
15728 Issued in LA
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

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1962805MedicaidLA

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15728LAMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DCF Past Accepting new patients
DCF Past Accepting new patients

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.

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

Verify at the official NPI Registry.