Individual provider Active NPI

Felipe A Rubio, MD

  • Pulmonary Disease Physician
  • Kettering, OH
National Provider Identifier
1861445298
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
48712 Issued in OH
Practice address
3080 Ackerman Blvd
Suite 100
Kettering, OH 45429-3555
Phone
(937) 396-1605
Fax
(888) 368-2122
NPI assigned
May 18, 2006
Last updated
Mar 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 48712 OH Primary

Addresses

Primary practice location

3080 Ackerman Blvd
Suite 100
Kettering, OH 45429-3555

Mailing address

PO Box 826
Lebanon, OH 45036-0826
Phone (937) 396-1605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080109000228 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4789581836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Chest Medicine IncGroup PAC ID 4183664105, 2 clinicians

Practice addresses (Care Compare)

3080 Ackerman Blvd
Suite 100
Kettering, OH 45429-3562
Phone (937) 961-1605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48712OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayton Chest Medicine Inc CurrentSince Apr 1, 2015 Accepting new patients
KND Development 59 LLC CurrentSince Jun 1, 2016 Accepting new patients
Pulmonary Medicine of Dayton, Inc Pulmonary Disease Past Accepting new patients
Kindred Hospitals East, LLC Past Accepting new patients

Locations

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

3080 Ackerman Blvd
Ste 100
Kettering, OH 45429
Phone (937) 396-1605

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425945600000",
    "number": "1861445298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450360826",
            "telephone_number": "937-396-1605",
            "fax_number": "888-368-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 ACKERMAN BLVD",
            "address_2": "SUITE 100",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454293555",
            "telephone_number": "937-396-1605",
            "fax_number": "888-368-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "FELIPE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "48712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.