Active NPI
Gabrielle Rubin, DO
- Cardiovascular Disease Physician
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036150888
- Practice address
- 1875 W Dempster St
Park Ridge, IL 60068-1186 - Phone
- (847) 698-3600
- NPI assigned
- Mar 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036150888 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036150888 | IL | Primary |
Addresses
Primary practice location
1875 W Dempster St
Park Ridge, IL 60068-1186
Mailing address
1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 318-9340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036150888 | Other | IL | ILLINOIS PHYSICIAN PERMANENT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-2000
163 Thomas Johnson Dr
Frederick, MD 21702-4673
Phone (202) 877-7685
Hospital & facility affiliations
- Medstar Washington Hospital Center
- Banner - University Medical Center Phoenix
- Medstar Southern Maryland Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 69.75
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 68.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Internal Medicine | Past | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
3800 Reservoir Rd NW
Fl 5
Washington, DC 20007
Phone (202) 444-0086
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
102 Irving St NW
Ste A101
Washington, DC 20010
110 Irving St NW
#1000
Washington, DC 20010
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
163 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 566-3132
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Multi-Specialty Clinic/Center
- Maricopa, AZ
- NPI 1063887727
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
dba MMG Anesthesia Cfnrg
- Anesthesiology Physician
- Washington, DC
- NPI 1023836137
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
-
dba MedStar Southern Maryland Hospital
- General Acute Care Hospital
- Clinton, MD
- NPI 1366790693
-
- General Acute Care Hospital
- Washington, DC
- NPI 1548378235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1841721545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-318-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 W DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681186",
"telephone_number": "847-698-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "GABRIELLE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036150888",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036150888",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PHYSICIAN PERMANENT LICENSE",
"identifier": "036150888",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.