Individual provider Active NPI

Sander Rubin, M.D.

  • Sports Medicine (Family Medicine) Physician
  • West Bloomfield, MI
National Provider Identifier
1871905703
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301514768 Issued in MI
Practice address
33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586
Phone
(248) 855-7400
Fax
(248) 626-6481
NPI assigned
May 27, 2014
Last updated
Apr 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Sports Medicine (Family Medicine) Physician 207QS0010X 4301514768 MI Primary

Addresses

Primary practice location

33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 48322-3586

Mailing address

26211 Central Park Blvd Ste 201
Southfield, MI 48076-4158
Phone (248) 845-4381

Other practice location 1

26750 Providence Pkwy Ste 220
Novi, MI 48374-1212
Phone (248) 596-0412

Other practice location 2

17877 W 14 Mile Rd
Beverly Hills, MI 48025-3127
Phone (248) 644-3920

Other practice location 3

24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 48025-4345
Phone (248) 988-8085

Other practice location 4

45816 Schoenherr Rd
Shelby Twp, MI 48315-6028
Phone (586) 842-2400

Other practice location 5

26025 Lahser Rd Fl 2
Southfield, MI 48033-2606
Phone (248) 663-1900

Other practice location 6

1350 Kirts Blvd Ste 160
Troy, MI 48084-4852
Phone (248) 244-9426

Other practice location 7

4967 Crooks Rd Ste 100
Troy, MI 48098-5812
Phone (248) 846-8060

Other practice location 8

30575 Woodward Ave
Royal Oak, MI 48073-0980
Phone (248) 280-8550

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sander.rubin.1@9974.direct.athenahealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180725003048 IL Practitioner - Sports Medicine 1254654403
I20251113001255 MI Practitioner - Sports Medicine 1254654403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Michigan State University College of Human Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33200 W 14 Mile Rd
Suite 220
West Bloomfield, MI 48322-3586
Phone (248) 663-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301514768MIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Orthopaedic Surgeons, PLLC Multi-Specialty CurrentSince Sep 30, 2025 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince Mar 27, 2022 Accepting new patients
Michigan Orthopaedic Surgeons PLLC PastSince May 25, 2021 Accepting new patients

Locations

17877 W 14 Mile Rd
Beverly Hills, MI 48025
Phone (248) 644-3920

24255 W 13 Mile Rd
Ste 100
Bingham Farms, MI 48025
Phone (248) 988-8085

26750 Providence Pkwy
Ste 220
Novi, MI 48374
Phone (248) 596-0412

26025 Lahser Rd
Fl 2
Southfield, MI 48033
Phone (248) 663-1900

26211 Central Park Blvd
Ste 201
Southfield, MI 48076
Phone (248) 845-4381

1350 Kirts Blvd
Ste 160
Troy, MI 48084
Phone (248) 244-9426

4967 Crooks Rd
Ste 100
Troy, MI 48098
Phone (248) 846-8060

45816 Schoenherr Rd
Utica, MI 48315
Phone (586) 842-2400

33200 W 14 Mile Rd
Ste 220
West Bloomfield, MI 48322
Phone (248) 855-7400

Interoperability endpoints

  • Direct secure messaging: sander.rubin.1@9974.direct.athenahealth.com

Organizations & group practices 3

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 4

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": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1871905703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26211 CENTRAL PARK BLVD STE 201",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480764158",
            "telephone_number": "248-845-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD STE 220",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223586",
            "telephone_number": "248-855-7400",
            "fax_number": "248-626-6481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26750 Providence Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483741212",
            "country_code": "US",
            "telephone_number": "248-596-0412",
            "fax_number": "248-596-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17877 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "MI",
            "postal_code": "480253127",
            "country_code": "US",
            "telephone_number": "248-644-3920",
            "fax_number": "248-644-2569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24255 W 13 Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254345",
            "country_code": "US",
            "telephone_number": "248-988-8085",
            "fax_number": "248-988-8565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45816 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483156028",
            "country_code": "US",
            "telephone_number": "586-842-2400",
            "fax_number": "586-991-6054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26025 Lahser Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480332606",
            "country_code": "US",
            "telephone_number": "248-663-1900",
            "fax_number": "248-663-1901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Kirts Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844852",
            "country_code": "US",
            "telephone_number": "248-244-9426",
            "fax_number": "248-244-9495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4967 Crooks Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480985812",
            "country_code": "US",
            "telephone_number": "248-846-8060",
            "fax_number": "248-590-2063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30575 Woodward Ave",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730980",
            "country_code": "US",
            "telephone_number": "248-280-8550",
            "fax_number": "248-280-8571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SANDER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301514768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sander.rubin.1@9974.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Athena Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "33200 W 14 Mile Rd Ste 220",
            "city": "West Bloomfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483223586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.