JEFFREY R RUBIN MD NPI 1760436430

NPI Information

NPI: 1760436430
Provider Name: JEFFREY R RUBIN, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
4160 JOHN R ST
SUITE 615
DETROIT, MI
ZIP 48201
Phone: (313) 745-4195
Get Directions

Jeffrey R Rubin, MD is a vascular surgery surgery in Detroit, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jeffrey R Rubin, MD NPI is 1760436430. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4160 JOHN R ST
SUITE 615
DETROIT, MI
ZIP 48201-020
Phone: (313) 745-4195

The NPI 1760436430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 9/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	22039	SOUTH CAROLINA	No
2	2086S0129X	Surgery	Vascular Surgery	4301090978	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	T62385	MEDICAID	SOUTH CAROLINA
2	A16841	MEDICARE UPIN
3	A16841	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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