Gary Vincent Rubin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036055869 Issued in IL

Practice address

7001 W Archer Ave
Chicago, IL 60638-2201

Phone

(773) 229-8818

Fax

(773) 229-8423

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: garyrubinmd@ophthalmologyconsultants.direct.eyemdemr.com

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1962484162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382201",
            "telephone_number": "773-229-8818",
            "fax_number": "773-229-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "GARY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036055869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055869",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Rachel Rubin, LCSW
• Daniel Rubin
• David Rubin
• Ellen S Rubin, D.P.M
• Emiko Yuzawa Rubin, PA-C
• Genevieve Lauren Rubin, M.S., CCC-SLP
• Jennifer Rubin, M.A. CCC-SLP
• Jennifer Peak Rubin, M.D.
• Jolie Rubin, LD, RD
• Laurence Hugh Rubin, DDS MSD

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.