Individual provider Active NPI

Shayna R Rubin, M.D.

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1962433250
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-116253 Issued in IL
Practice address
200 S Michigan Ave Ste 1550
Chicago, IL 60604-2424
Phone
(312) 263-5517
Fax
(312) 986-8005
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-116253 IL Primary

Addresses

Primary practice location

200 S Michigan Ave Ste 1550
Chicago, IL 60604-2424

Mailing address

200 S Michigan Ave Ste 1550
Chicago, IL 60604-2424
Phone (312) 263-5517

Other identifiers 1

IdentifierTypeStateIssuer
036-116253OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20090205000117 IL Practitioner - Obstetrics/Gynecology 2668536129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Together Women'S Health Medical Group of Illinois, PLLCGroup PAC ID 8325195506, 26 clinicians

Practice addresses (Care Compare)

200 S Michigan Ave
Suite 1550
Chicago, IL 60604-2424
Phone (312) 262-2976

Hospital & facility affiliations

  • Northwestern Memorial Hospital Hospital, Chicago, IL, CCN 140281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-116253ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Together Women'S Health Medical Group of Illinois, PLLC CurrentSince Oct 1, 2023 Accepting new patients
North Shore Associates in Gynecology and Obstetrics, S.C. Past Accepting new patients

Locations

200 S Michigan Ave
Ste 1550
Chicago, IL 60604
Phone (312) 262-2976

200 S Michigan Ave
Chicago, IL 60604

900 N Kingsbury St
Ste 130N
Chicago, IL 60610
Phone (312) 775-1100

Interoperability endpoints

  • Direct secure messaging: shayna.rubin.1@29023.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1962433250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE STE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042424",
            "telephone_number": "312-263-5517",
            "fax_number": "312-986-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE STE 1550",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042424",
            "telephone_number": "312-263-5517",
            "fax_number": "312-986-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "SHAYNA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-116253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-116253",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.