Active NPI
Nicole Rubin, MD
- Gynecologic Oncology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 324370
- Practice address
- 1415 Portland Ave Ste 245
Rochester, NY 14621-3022 - Phone
- (585) 922-4496
- Fax
- (585) 922-4442
- NPI assigned
- Apr 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 169331 | CA | |
| Gynecologic Oncology Physician | 207VX0201X | 324370 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Mailing address
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone (585) 922-4496
Other practice location 1
4860 Y St Ste 2500
Sacramento, CA 95817-2307
Phone (916) 734-6938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- University of Connecticut School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1415 Portland Ave
Rochester, NY 14621-3038
Phone (585) 922-0390
Hospital & facility affiliations
- Rochester General Hospital
- United Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 27 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 169331 | CA | MD | Obstetrics & Gynecology Physician |
| 324370 | NY | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| United Memorial Medical Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Rochester General Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Rochester General Hospital | Obstetrics & Gynecology | Current | Accepting new patients |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| United Memorial Medical Center | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
16 Bank St
Batavia, NY 14020
Phone (585) 344-4800
127 North St
Batavia, NY 14020
Phone (585) 267-7510
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- nrubin377209@direct.rochesterregional.org
Organizations & group practices 10
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.
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Clinical Medical Laboratory
- Rochester, NY
- NPI 1720471246
-
- Family Medicine Physician
- Batavia, NY
- NPI 1669747085
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Batavia, NY
- NPI 1902800352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1952765489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213022",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442"
}
],
"practiceLocations": [
{
"address_1": "4860 Y St Ste 2500",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172307",
"country_code": "US",
"telephone_number": "916-734-6938",
"fax_number": "916-734-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIN",
"first_name": "NICOLE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2023-09-28",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "169331",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "NY",
"license": "324370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.