Individual provider Active NPI

Adam M Rubinstein, MD

  • Internal Medicine Physician
  • Libertyville, IL
National Provider Identifier
1871541839
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-085556 Issued in IL
Practice address
755 S Milwaukee Ave Ste 261
Libertyville, IL 60048-3266
Phone
(847) 247-0300
Fax
(847) 247-8011
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-085556 IL Primary

Addresses

Primary practice location

755 S Milwaukee Ave Ste 261
Libertyville, IL 60048-3266

Mailing address

755 S Milwaukee Ave Ste 261
Libertyville, IL 60048-3266
Phone (847) 247-0300

Other identifiers 1

IdentifierTypeStateIssuer
04923105OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20071019000598 IL Practitioner - Internal Medicine 4981790045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
JS Weill Medical College, Cornell University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

755 S Milwaukee Ave
Suite 261
Libertyville, IL 60048-3266
Phone (847) 247-0300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-085556ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adam Rubinstein MD SC Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients

Locations

755 S Milwaukee Ave
Ste 261
Libertyville, IL 60048
Phone (847) 247-0300

250 Center Dr
Ste 201
Vernon Hills, IL 60061
Phone (847) 816-4711

Organizations & group practices 2

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 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1871541839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE STE 261",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483266",
            "telephone_number": "847-247-0300",
            "fax_number": "847-247-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S MILWAUKEE AVE STE 261",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483266",
            "telephone_number": "847-247-0300",
            "fax_number": "847-247-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSTEIN",
        "first_name": "ADAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-085556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04923105",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.