Individual provider Active NPI

Martin Rubin, M.D.

  • Otolaryngology Physician
  • Elkridge, MD
National Provider Identifier
1922167147
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D0027309 Issued in MD
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
D0027309MDMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.