Look up the most recent NPI and PECOS records

Phillip Rubin

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Phillip Rubin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1184157372
Provider Type
Individual
Full Name
Rubin, Phillip
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/5/2017
Last Updated
7/2/2020

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 585-5215

Unlisted Fax

Mailing Location

1611 NW 12th Ave, Miami, FL 33136-1005

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME144265 Florida
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Phillip Rubin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Pogrebnaya, Zhanna Viktorovna

Obid, Samer

Fernandez, Itzel

Anaya, Candido

Pavon Canseco, Aldo

Zaw, Khin M

Franco, Daniel Alfred

Mcbride, Andrew Parks

Urrea, Bruno

Gardner, Laurence Bernard