NPIMap

Individual provider Active NPI

Laurence G. Rubin, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mechanicsville, VA
National Provider Identifier
1851351423
Registry record updated Aug 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000849 Issued in VA
Practice address
7016 Lee Park Rd
Suite 105
Mechanicsville, VA 23111-3682
Phone
(804) 746-5488
Fax
(804) 730-1223
NPI assigned
Mar 27, 2006
Last updated
Aug 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0103000849 VA Primary

Addresses

Primary practice location

7016 Lee Park Rd
Suite 105
Mechanicsville, VA 23111-3682

Mailing address

7016 Lee Park Rd Ste 105
Mechanicsville, VA 23111-3620
Phone (804) 746-5488

Other identifiers 2

IdentifierTypeStateIssuer
480000600OtherVARR PROVIDER #
9332308MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001405 VA Practitioner - Podiatry 3779570411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fasv, PCGroup PAC ID 9931274214, 3 clinicians

Practice addresses (Care Compare)

7016 Lee Park Rd
Suite 105
Mechanicsville, VA 23111-3620
Phone (804) 746-5488

7016 Lee Park Rd
Suite 105
Mechanicsville, VA 23111-3682

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.27 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue36
Removal of skin lesions1-10
Removal of nail tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000849VAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fasv, PC Foot & Ankle Surgery CurrentSince Apr 1, 2008 Accepting new patients
Fasv PC Foot & Ankle Surgery CurrentSince Apr 1, 2008 Accepting new patients
Foot and Ankle Specialists of Virginia PC Podiatrist Past Accepting new patients

Locations

7016 Lee Park Rd
Ste 105
Mechanicsvlle, VA 23111
Phone (804) 746-5488

Interoperability endpoints

  • Direct secure messaging: laurencerubin@fasovpc.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1851351423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD STE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113620",
            "telephone_number": "804-746-5488",
            "fax_number": "804-730-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 LEE PARK RD",
            "address_2": "SUITE 105",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113682",
            "telephone_number": "804-746-5488",
            "fax_number": "804-730-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LAURENCE",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR PROVIDER #",
            "identifier": "480000600",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9332308",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.