Individual provider Active NPI

Samuel Rubin, MD, MPH

  • Otolaryngology Physician
  • Pittsburgh, PA
National Provider Identifier
1952842189
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD482281 Issued in PA
Practice address
490 E North Ave Ste 515
Pittsburgh, PA 15212-4780
Phone
(412) 681-2300
NPI assigned
Mar 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 MD482281 PA Primary

Addresses

Primary practice location

490 E North Ave Ste 515
Pittsburgh, PA 15212-4780

Mailing address

490 E North Ave Ste 515
Pittsburgh, PA 15212-4780
Phone (412) 681-2300

Other identifiers 1

IdentifierTypeStateIssuer
16022608OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231010002228 PA Practitioner - Otolaryngology 8921379835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Boston University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

12311 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3457

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-6581

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 359-6656

320 E N Ave
Pittsburgh, PA 15212-4756

420 E N Ave
Pittsburgh, PA 15212-4746

4800 Friendship Ave
Pittsburgh, PA 15224-1722

4815 Liberty Ave
Pittsburgh, PA 15224-2156

565 Coal Valley Rd
Jefferson Hills, PA 15025-3703
Phone (412) 267-6901

575 Coal Valley Rd
Suite 209
Clairton, PA 15025-3724
Phone (412) 267-6600

62 Greenbriar Dr
Suite 1
Leechburg, PA 15656-8209
Phone (724) 845-7765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD482281PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Oct 1, 2023 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Oct 1, 2023 Accepting new patients
Allegheny Clinic Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
#3
Pittsburgh, PA 15212

4815 Liberty Ave
Ste 156
Pittsburgh, PA 15224
Phone (412) 578-4230

490 E North Ave
Ste 515
Pittsburgh, PA 15212
Phone (412) 359-5115

Interoperability endpoints

  • Direct secure messaging: srubin750774@direct.ahn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1952842189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 515",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124780",
            "telephone_number": "412-681-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 E NORTH AVE STE 515",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124780",
            "telephone_number": "412-681-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SAMUEL",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD482281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "16022608",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.