MARK N. RUBIN MD
NPI 1104055169
Psychiatry & Neurology - Neurology in Chicago, IL

Active since July 10, 2009PECOS EnrolledAccepts Medicare Assignment
2045 W GRAND AVE STE B, CHICAGO, IL 60612(630) 447-0561 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2025, Apr 8, 2020, Aug 22, 2017 (3 updates tracked since 2017).

About Mark N. Rubin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK N. RUBIN MD (NPI 1104055169) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (36.138197) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Edward Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2009).

NPPES Registry Identity

NPI1104055169
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMARK N. RUBINCredential: MD
Location Address2045 W GRAND AVE STE BChicago, IL 60612-1577
Mailing Address2045 W Grand Ave Ste BChicago, IL 60612-1577 · (630) 447-0561
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2009
Enumeration DateJuly 10, 2009
Last NPPES UpdateNovember 11, 20253 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1104055169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 36.138197
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 36.138197 (IL)
2045 W GRAND AVE STE B, Chicago, IL 60612

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark N. Rubin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931394491
PECOS Enrollment IDI20150812007830
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Mark Rubin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vascular Neurology
980 N MICHIGAN AVE SUITE 1085
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
Multi-Specialty
1068 CRESTHAVEN RD STE 300
Memphis, TN 38119
  • Reassigned Medicare billing, Tennessee enrollment
  • 157 clinicians in this Medicare group
Family Medicine
140 OLD WILLOW MILL RD
Mechanicsburg, PA 17050
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,216 clinicians in this Medicare group
Family Medicine
71 HAYNES ST, MILLER BLDG., FLOOR G
Manchester, CT 06040
  • Reassigned Medicare billing, Connecticut enrollment
  • 422 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Edward Hospital

Acute Care Hospitals · Naperville, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140231
Location801 South WashingtonNaperville, IL 60540 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Counselor (Professional)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Physician Assistant (Medical)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Health and Wellness Coach
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Dietitian, Registered
2045 W GRAND AVE STE B, PMB 37767
CHICAGO, IL 60612
Nurse Practitioner (Family)
2045 W GRAND AVE STE B
CHICAGO, IL 60612
Nurse Practitioner (Psychiatric/Mental Health)
2045 W GRAND AVE STE B
CHICAGO, IL 60612

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 Mark Rubin's NPI number?

The NPI number for Mark Rubin is 1104055169. It was assigned to this individual provider in the NPPES registry on July 10, 2009.

Where is Mark Rubin located?

Mark Rubin practices at 2045 W Grand Ave Ste B, Chicago, IL 60612. The listed phone number is (630) 447-0561.

What is Mark Rubin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mark Rubin enrolled in Medicare?

Yes. Mark Rubin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Rubin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Rubin reassigns Medicare benefits to 5 organizations: Sound Vascular Neurology PLLC (Chicago, IL), Endeavor Health Medical Group (Evanston, IL), Ut Medical Group Inc (Memphis, TN), Milton S Hershey Medical Center Physicians Group (Mechanicsburg, PA) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). Each 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 Mark Rubin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Rubin accept?

Health plans from Antidote Health Plan of Ohio, Inc. list Mark Rubin 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.

Is Mark Rubin affiliated with any hospitals?

According to CMS data, Mark Rubin is affiliated with Edward Hospital.

When was this NPI record last updated?

The NPPES record for Mark Rubin was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.