Individual provider Active NPI

Sarah Michelle Rubin, CRNP

  • Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1831725696
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R220976 Issued in MD
Practice address
10215 Fernwood Rd Ste 630
Bethesda, MD 20817-1184
Phone
(240) 449-3094
Fax
(240) 489-4415
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R220976 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 630
Bethesda, MD 20817-1184

Mailing address

1125 Fairview CT
Silver Spring, MD 20910-4148
Phone (704) 614-0264

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bethesda Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428000815 DC Practitioner - Nurse Practitioner 5799115010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Total Elder Care, LLCGroup PAC ID 4981901550, 27 clinicians

Practice addresses (Care Compare)

110 Irving St NW
East Building Room 3114
Washington, DC 20010-3017
Phone (202) 877-0570

Hospital & facility affiliations

  • Medstar Health Vna Home health agency, Washington, DC, CCN 097000
  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apostle Group LLC Nurse Practitioner CurrentSince Mar 1, 2020 Accepting new patients
Apostle Group LLC CurrentSince Mar 1, 2020 Accepting new patients
Medstar Total Elder Care LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

106 Irving St NW
Washington, DC 20010
Phone (202) 877-0275

10215 Fernwood Rd
Ste 630
Bethesda, MD 20817
Phone (301) 664-9601

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1831725696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 FAIRVIEW CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104148",
            "telephone_number": "704-614-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 630",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "240-449-3094",
            "fax_number": "240-489-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R220976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bethesda",
            "affiliation": "N",
            "endpointDescription": "Office Ally",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10215 Fernwood Rd Ste 630",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208171184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.