Individual provider Active NPI

Christopher Rubano, MD

  • Surgery Physician
  • Vancouver, WA
National Provider Identifier
1861430506
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD154418 Issued in OR
Practice address
13115 NE 4TH St
Ste 230
Vancouver, WA 98684
Phone
(360) 448-2047
Fax
(360) 450-2289
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD154418 OR Primary

Addresses

Primary practice location

13115 NE 4TH St
Ste 230
Vancouver, WA 98684

Mailing address

13115 NE 4TH St
Ste 230
Vancouver, WA 98684-5965
Phone (360) 448-2047

Other identifiers 1

IdentifierTypeStateIssuer
8427122MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20050722000433 WA Practitioner - General Surgery 8426085259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Loma Linda University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13115 NE 4TH St
Suite 230
Vancouver, WA 98684-5965
Phone (360) 448-2047

Hospital & facility affiliations

  • Peacehealth St John Medical Center Hospital, Longview, WA, CCN 500041

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Varicose vein removal116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154418ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vancouver Vein & Surgical Center Surgery CurrentSince Sep 18, 2018 Accepting new patients

Locations

13115 NE 4th St
Ste 230
Vancouver, WA 98684
Phone (360) 448-2047

Interoperability endpoints

  • Direct secure messaging: christopher.rubano.1@19966.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19966/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 1

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1861430506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST",
            "address_2": "STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845965",
            "telephone_number": "360-448-2047",
            "fax_number": "360-450-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 NE 4TH ST",
            "address_2": "STE 230",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-448-2047",
            "fax_number": "360-450-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBANO",
        "first_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD154418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8427122",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.