NPIMap

Individual provider Active NPI

Barry Alec Rubin, D.O.

  • Family Medicine Physician
  • Milford, OH
National Provider Identifier
1902957251
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02265 Issued in OH
Practice address
201 Old Bank Rd
Milford, OH 45150-2416
Phone
(513) 248-0100
Fax
(513) 248-4334
NPI assigned
Jan 15, 2007
Last updated
Dec 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02265 OH Primary

Addresses

Primary practice location

201 Old Bank Rd
Milford, OH 45150-2416

Mailing address

201 Old Bank Rd
Ste 100
Milford, OH 45150-2443
Phone (513) 683-5700

Other identifiers 1

IdentifierTypeStateIssuer
0245596MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080320000590 OH Practitioner - Family Practice 3173609898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Physicians and Surgeons (Iowa), 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

201 Old Bank Rd
Suite 100
Milford, OH 45150-2443
Phone (513) 683-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2265OHMDRegistered Dietitian
02265OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince May 1, 2014 Accepting new patients
Mercy Health Physicians Cincinnati LLC CurrentSince May 1, 2014 Accepting new patients
Kauffman Chiropractic LLC PastSince Jan 26, 2012 Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

201 Old Bank Rd
Ste 100
Milford, OH 45150
Phone (513) 474-7007

Interoperability endpoints

  • Direct secure messaging: brubin18472@direct.bsmhealth.org

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 7

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1902957251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OLD BANK RD",
            "address_2": "STE 100",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502443",
            "telephone_number": "513-683-5700",
            "fax_number": "513-683-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OLD BANK RD",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451502416",
            "telephone_number": "513-248-0100",
            "fax_number": "513-248-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "BARRY",
        "middle_name": "ALEC",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "02265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.