RUBIN PETER GAPPY MD
NPI 1003825894
Pediatrics in Saint Clair Shores, MI
About Rubin Peter Gappy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUBIN PETER GAPPY MD (NPI 1003825894) is an individual pediatrics provider in Saint Clair Shores, Michigan, licensed in Michigan (4301081978) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rubin Peter Gappy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Rubin Gappy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rubin Gappy's NPI number?
The NPI number for Rubin Gappy is 1003825894. It was assigned to this individual provider in the NPPES registry on August 8, 2006.
Where is Rubin Gappy located?
Rubin Gappy practices at 20225 E 9 Mile Rd Suite A, Saint Clair Shores, MI 48080. The listed phone number is (586) 772-1090.
What is Rubin Gappy's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rubin Gappy enrolled in Medicare?
Yes. Rubin Gappy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Rubin Gappy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rubin Gappy reassigns Medicare benefits to Henry Ford Cornerstone Medical Group (Clinton Township, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rubin Gappy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rubin Gappy accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Rubin Gappy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Rubin Gappy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Rubin Peter Gappy, MD · NPI 1003825894
Pediatrics physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since August 8, 2006.
## Identity
- **NPI:** 1003825894 (Entity type: Individual)
- **Enumerated:** August 8, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 4301081978 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 20225 E 9 MILE RD, SUITE A, Saint Clair Shores, MI 48080-1775
- **Phone:** (586) 772-1090 · **Fax:** (586) 772-4366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Henry Ford Cornerstone Medical Group (NPI 1851765374, Clinton Township, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Other 5315028539 (MI); Other 4301081978 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1003825894) · Data from the CMS NPPES public registry.