RANDI E RUBENZIK MD NPI 1588612964

NPI Information

  • NPI: 1588612964
  • Provider Name: RANDI E RUBENZIK, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11130 N TATUM BLVD STE 100
    PHOENIX, AZ
    ZIP 85028
  • Phone: (602) 494-1817

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NPI Details

Randi E Rubenzik, MD is a dermatology in Phoenix, AZ with 29 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Randi E Rubenzik, MD NPI is 1588612964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

11130 N TATUM BLVD STE 100
PHOENIX, AZ
ZIP 85028-630
Phone: (602) 494-1817
Fax: (602) 494-7103

The NPI 1588612964 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Biopsy of ear (HCPCS:69100)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)

The enumeration date for this NPI number is 5/5/2006 and was last updated on 4/13/2022.

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
1207N00000XDermatology26180ARIZONAYes

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 Other Provider Identifier Issuer
11588612964OTHERARIZONAAHCCCS
21Z5232OTHERARIZONAHEALTH NET
3542557MEDICAIDARIZONA
41995262OTHERARIZONAUNITED HEALTHCARE
5AZ0869290OTHERARIZONABLUE CROSS BLUE SHIELD
6070013969OTHERARIZONARAILROAD MEDICARE
799S007000006OTHERARIZONAMEDISUN
8188961600OTHERARIZONADEPT OF LABOR WORK COMP
97096132OTHERARIZONAAETNA

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: 3/30/2025

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