Individual provider Active NPI

Rakhil Rubinova, D.O.

  • Endocrinology, Diabetes & Metabolism Physician
  • Rego Park, NY
National Provider Identifier
1851552921
Registry record updated May 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
253788 Issued in NY
Practice address
6271 Woodhaven Blvd
Rego Park, NY 11374-2832
Phone
(347) 776-0504
Fax
(718) 335-9001
NPI assigned
Jun 22, 2008
Last updated
May 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 253788 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 253788 NY Primary

Addresses

Primary practice location

6271 Woodhaven Blvd
Rego Park, NY 11374-2832

Mailing address

6271 Woodhaven Blvd
Rego Park, NY 11374-2832
Phone (347) 776-0504

Other practice location 1

101 Mineola Blvd
Mineola, NY 11501-4007
Phone (516) 663-3511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091212000061 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 7113067752 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6271 Woodhaven Blvd
Rego Park, NY 11374-2896
Phone (718) 335-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
253788NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Ny Diabetes & Endocrinology Care PC Endocrinology, Diabetes & Metabolism CurrentSince Feb 1, 2016 Accepting new patients
New York University Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Wellness Osteopathic Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Hillside Polymedic Diagnostic & Treatment Center Inc CurrentSince Feb 10, 2020 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Hillside Polymedic P.C. Internal Medicine Past Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

1300 Franklin Ave
Ste UL3A
Garden City, NY 11530
Phone (516) 663-3015

18730 Hillside Ave
Jamaica, NY 11432
Phone (718) 264-1111

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

101 Mineola Blvd
Fl 2
Mineola, NY 11501
Phone (516) 633-3511

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

1981 Marcus Ave
Ste 2
New Hyde Park, NY 11042

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: rakhil.rubinova.1@14178.direct.athenahealth.com
  • Direct secure messaging: rakhilr@hillsidepolymedic.medentdirect.com
  • Direct secure messaging: rar9068@direct.nyp.org

Organizations & group practices 8

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 7

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": "1214092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590364800000",
    "number": "1851552921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742832",
            "telephone_number": "347-776-0504",
            "fax_number": "718-335-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742832",
            "telephone_number": "347-776-0504",
            "fax_number": "718-335-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Mineola Blvd",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014007",
            "country_code": "US",
            "telephone_number": "516-663-3511",
            "fax_number": "516-663-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBINOVA",
        "first_name": "RAKHIL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-22",
        "last_updated": "2020-05-25",
        "certification_date": "2020-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253788",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "253788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

Verify at the official NPI Registry.