Individual provider Active NPI

Lawrence B Rubin, D.P.M.

  • Foot Surgery Podiatrist
  • Detroit, MI
National Provider Identifier
1881696953
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901000839 Issued in MI
Practice address
18530 Grand River Ave
Detroit, MI 48223-2319
Phone
(313) 273-9400
Fax
(313) 273-5612
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5901000839 MI Primary

Addresses

Primary practice location

18530 Grand River Ave
Detroit, MI 48223-2319

Mailing address

18530 Grand River Ave
Detroit, MI 48223-2319
Phone (313) 273-9400

Other identifiers 2

IdentifierTypeStateIssuer
1524461MedicaidMI
1391060MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080423000339 MI Practitioner - Podiatry 6800974429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Mobile Podiatry PLLCGroup PAC ID 2668601253, 4 clinicians

Practice addresses (Care Compare)

30150 Telegraph Rd
Suite 371
Bingham Farms, MI 48025-5709
Phone (734) 493-1662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue160
Removal or shaving of skin growth36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Mobile Podiatry, PLLC Podiatrist CurrentSince Nov 2, 2013 Accepting new patients

Locations

30150 Telegraph Rd
Ste 371
Bingham Farms, MI 48025
Phone (734) 493-1662

18530 Grand River Ave
Detroit, MI 48223
Phone (248) 210-5257

Interoperability endpoints

  • Direct secure messaging: lrubin@direct.dmc.org
  • Direct secure messaging: lrubin1149716@direct.hfhs.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1881696953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232319",
            "telephone_number": "313-273-9400",
            "fax_number": "313-273-5612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18530 GRAND RIVER AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232319",
            "telephone_number": "313-273-9400",
            "fax_number": "313-273-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "LAWRENCE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901000839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524461",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1391060",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.