Active NPI
Martin Rubin, M.D.
- Otolaryngology Physician
- Elkridge, MD
National Provider Identifier
1922167147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0027309
- Practice address
- 8186 Lark Brown Rd
Suite 303
Elkridge, MD 21075-6433 - Phone
- (410) 799-5111
- Fax
- (410) 799-5003
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0027309 | MD | Primary |
Addresses
Primary practice location
8186 Lark Brown Rd
Suite 303
Elkridge, MD 21075-6433
Mailing address
8186 Lark Brown Rd
Suite 303
Elkridge, MD 21075-6433
Phone (410) 799-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822001403 | MD | Practitioner - Otolaryngology | 1850322629 | Practice locations: Elkridge, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0027309 | MD | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology & Hearing Care, LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Audiologist
- Columbia, MD
- NPI 1750408100
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922167147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8186 LARK BROWN RD",
"address_2": "SUITE 303",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756433",
"telephone_number": "410-799-5111",
"fax_number": "410-799-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8186 LARK BROWN RD",
"address_2": "SUITE 303",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756433",
"telephone_number": "410-799-5111",
"fax_number": "410-799-5003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0027309",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elkridge, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.