Active NPI
Adam M Rubin, M.D.
- Nephrology Physician
- Wyomissing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD422776
- Practice address
- 1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029 - Phone
- (610) 376-7365
- Fax
- (610) 376-1320
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD422776 | PA | Primary |
Addresses
Primary practice location
1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Mailing address
1030 Reed Avenue
Suite 114
Wyomissing, PA 19610-2029
Phone (610) 376-7365
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD422776 | Other | PA | STATE LICENSE NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7785 N State St
Lowville, NY 13367-1229
Phone (315) 782-0136
830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4000
Hospital & facility affiliations
- FMC Renal Care of Northern New York, LLC
- DaVita Lowville Dialysis Center
- Samaritan Medical Center
- Lewis County General Hospital
- Carthage Area Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.47 of 100
- Quality
- 72.75
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates of Watertown PC | Nephrology | Current | Accepting new patients |
Locations
7785 N State St
Ste 230
Lowville, NY 13367
Phone (315) 376-5473
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
19316 US Route 11
Ste B
Watertown, NY 13601
Phone (315) 782-0136
Interoperability endpoints
- arubin@nephrologyaow.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Watertown, NY
- NPI 1861432304
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lowville Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lowville, NY
- NPI 1992136022
Dialysis facility
-
dba Watertown Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Watertown, NY
- NPI 1710368618
Dialysis facility
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
dba Lewis County General Hospital
- Rural Acute Care Hospital
- Lowville, NY
- NPI 1487689402
-
- Critical Access Hospital
- Lowville, NY
- NPI 1619390838
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1881634020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 REED AVENUE",
"address_2": "SUITE 114",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102029",
"telephone_number": "610-376-7365",
"fax_number": "610-376-1320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 REED AVENUE",
"address_2": "SUITE 114",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196102029",
"telephone_number": "610-376-7365",
"fax_number": "610-376-1320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "ADAM",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD422776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NO",
"identifier": "MD422776",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.