NPIMap

Individual provider Active NPI

Allen D Rubin, MD

  • Vascular Surgery Physician
  • Tacoma, WA
National Provider Identifier
1942422977
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD00039472 Issued in WA
Practice address
1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304
Phone
(253) 382-8540
NPI assigned
May 2, 2007
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD00039472 WA Primary

Addresses

Primary practice location

1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304

Mailing address

1802 Yakima Ave Ste 204
Tacoma, WA 98405-5304
Phone (253) 382-8540

Other practice location 1

603 S Chestnut St
Ellensburg, WA 98926-3875
Phone (509) 962-7390

Other practice location 2

1100 Goethals Dr Ste E
Richland, WA 99352-3301
Phone (509) 942-3627

Other identifiers 1

IdentifierTypeStateIssuer
2000072MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arubin460897@fhsce.catholichealth.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080801000393 WA Practitioner - Vascular SurgeryPractitioner - Thoracic Surgery 1850315763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Thoracic Surgery
Education
Medical University of South Carolina College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 515-5811

11307 Bridgeport Way SW
Lakewood, WA 98499-3024

11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Phone (253) 426-6341

11511 Canterwood Blvd
Gig Harbor, WA 98332-5813

11511 Canterwood Blvd NW
Suite 100
Gig Harbor, WA 98332-5813
Phone (253) 627-1244

11567 Canterwood Blvd NW
Gig Harbor, WA 98332-5812
Phone (253) 426-6341

1450 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1455 Battersby Ave
Enumclaw, WA 98022-3634
Phone (253) 426-6341

1608 S J St
Tacoma, WA 98405-4930

1617 S J St
Tacoma, WA 98405-4930
Phone (253) 426-6306

1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

34503 9TH Ave S
Federal Way, WA 98003-8726

34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977

611 S Chestnut St
Suite a
Ellensburg, WA 98926-4815
Phone (509) 962-7390

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Aug 18, 2025 Accepting new patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Franciscan Medical Group CurrentSince May 6, 2019 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Aug 18, 2025 Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 22, 2025 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Apr 22, 2025 Accepting new patients
Franciscan Medical Group CurrentSince May 6, 2019 Accepting new patients
Eastside Vascular LLP Vascular Surgery Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Starr-Wood Cardiac Group of Portland PC Past Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

611 S Chestnut St
Ste A
Ellensburg, WA 98926
Phone (509) 933-7575

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

11511 Canterwood Blvd
Ste 100
Gig Harbor, WA 98332
Phone (253) 382-8150

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1802 Yakima Ave
Ste 204
Tacoma, WA 98405
Phone (206) 383-3325

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: arubin460897@fhsce.catholichealth.net

Organizations & group practices 12

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 10

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1942422977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055304",
            "telephone_number": "253-382-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 YAKIMA AVE STE 204",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984055304",
            "telephone_number": "253-382-8540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 S Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Ellensburg",
            "state": "WA",
            "postal_code": "989263875",
            "country_code": "US",
            "telephone_number": "509-962-7390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Goethals Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523301",
            "country_code": "US",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ALLEN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD00039472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2000072",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arubin460897@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1802 Yakima Ave Ste 204",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.