Organization Active NPI

Rubin Foot & Ankle Center, P.C.

Doing business as Rubin Foot & Ankle Center

  • Podiatric Clinic/Center
  • Naperville, IL
National Provider Identifier
1861938391
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
016005582 Issued in IL
Legal business name
RUBIN FOOT & ANKLE CENTER, P.C.
Doing business as
Rubin Foot & Ankle Center
Practice address
1020 E Ogden Ave Ste 214
Naperville, IL 60563-8610
Phone
(630) 780-3668
Fax
(630) 839-4050
NPI assigned
Jan 8, 2017
Last updated
Mar 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

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

Authorized official

Name
Dr. Jason Rubin, DPMNPI 1114280427
Title
Director
Phone
(630) 803-3790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 016005582 IL Primary

Addresses

Primary practice location

1020 E Ogden Ave Ste 214
Naperville, IL 60563-8610

Mailing address

10 Martin Ave
Suite 2
Naperville, IL 60540-6535
Phone (630) 803-3790

Other names 1

  • Rubin Foot & Ankle Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170214001365 IL Part B Supplier - Clinic/Group Practice 0244513430 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL
O20170928002207 IL DME Supplier - Physician - General Practice 0244513430 Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1020 E Ogden Ave
Ste 214
Naperville, IL 60563
Phone (630) 416-1375

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15856/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710547200000",
    "number": "1861938391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MARTIN AVE",
            "address_2": "SUITE 2",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406535",
            "telephone_number": "630-803-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E OGDEN AVE STE 214",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638610",
            "telephone_number": "630-780-3668",
            "fax_number": "630-839-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN FOOT & ANKLE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-803-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "IL",
            "license": "016005582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rubin Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.