Individual provider Active NPI

Jay Michel Rubin, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1851386353
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
HO778 Issued in TX
Practice address
999 E Basse Rd
Suite 128-B
San Antonio, TX 78209-1801
Phone
(210) 826-2012
Fax
(210) 829-8349
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X HO778 TX Primary

Addresses

Primary practice location

999 E Basse Rd
Suite 128-B
San Antonio, TX 78209-1801

Mailing address

999 E Basse Rd
Suite 128-B
San Antonio, TX 78209-1801
Phone (210) 826-2012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000099 TX Practitioner - Ophthalmology 7214945252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

999 E Basse Rd
Suite 128 B
San Antonio, TX 78209-1803
Phone (210) 826-2012

Merit-based Incentive Payment System (MIPS)

Final score
88.36 of 100Reported as individual
Quality
90.9
Improvement activities
40
Cost
73.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
HO778TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinics of South Texas P.a. Ophthalmology CurrentSince Sep 15, 1992 Accepting new patients

Locations

300 W Bitters Rd
Ste 130
San Antonio, TX 78216
Phone (210) 385-4193

999 E Basse Rd
Ste 128B
San Antonio, TX 78209
Phone (210) 826-2012

999 E Basse Rd
#128B
San Antonio, TX 78209
Phone (210) 821-6901

Interoperability endpoints

  • Direct secure messaging: jrubin@ecst.intellechartdirect.net

Organizations & group practices 1

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1851386353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE 128-B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-826-2012",
            "fax_number": "210-829-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E BASSE RD",
            "address_2": "SUITE 128-B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091801",
            "telephone_number": "210-826-2012",
            "fax_number": "210-829-8349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JAY",
        "middle_name": "MICHEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "HO778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.