DR. RONALD CRAIG RUBENSTEIN MD
NPI 1144237025
Pediatrics - Pediatric Allergy/Immunology in Saint Louis, MO

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED ALLERGY/IMMUNO/PULMO, SAINT LOUIS, MO 63110(314) 454-2694(314) 454-2515 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Aug 30, 2023 and 3 more (6 updates tracked since 2016).

About Dr. Ronald Craig Rubenstein Md NPPES

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

DR. RONALD CRAIG RUBENSTEIN MD (NPI 1144237025) is an individual pediatric allergy/immunology provider in Saint Louis, Missouri, licensed in Missouri (2020039839) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1144237025
Entity TypeIndividualMale
Primary Taxonomy2080P0201X
Provider Legal NameDR. RONALD CRAIG RUBENSTEINCredential: MD
Location Address1 CHILDRENS PL, DIV PED ALLERGY/IMMUNO/PULMOSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-2694 · Fax (314) 454-2515
Fax(314) 454-2515
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 2, 2006
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1144237025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in MO · 2020039839
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedPediatricsTaxonomy 208000000X · License 2020039839 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200090976MO

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

Dr. Ronald Craig Rubenstein 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 ID3476600305
PECOS Enrollment IDI20201204001529
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

3

Medicare enrollment records show Ronald Rubenstein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
1 CHILDRENS PL
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 628 clinicians in this Medicare group
Pediatric Surgery
1011 E MONTCLAIR ST
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 39 clinicians in this Medicare group
Pediatrics
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Health Care Associates Inc
  • 1,225 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

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 Ronald Rubenstein's NPI number?

The NPI number for Ronald Rubenstein is 1144237025. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Ronald Rubenstein located?

Ronald Rubenstein practices at 1 Childrens Pl Div Ped Allergy/Immuno/Pulmo, Saint Louis, MO 63110. The listed phone number is (314) 454-2694.

What is Ronald Rubenstein's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Ronald Rubenstein enrolled in Medicare?

Yes. Ronald Rubenstein 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 Ronald Rubenstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Rubenstein reassigns Medicare benefits to 3 organizations: Washington University (Saint Louis, MO), Lester E Cox Medical Centers (Springfield, MO) and Children's Health Care Associates (Philadelphia, PA). 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 Ronald Rubenstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Rubenstein accept?

Health plans from Cox HealthPlans list Ronald Rubenstein 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 Ronald Rubenstein was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.