JACK E RUBIN M.D.
NPI 1346236205
Internal Medicine - Nephrology in Inglewood, CA

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
575 E HARDY ST, SUITE 322, INGLEWOOD, CA 90301(310) 671-0488(310) 671-7618 Get Directions Write a Review

NPPES record last updated: May 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack E Rubin M.d. NPPES

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

JACK E RUBIN M.D. (NPI 1346236205) is an individual nephrology provider in Inglewood, California, licensed in California (G060194) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1973).

NPPES Registry Identity

NPI1346236205
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameJACK E RUBINCredential: M.D.
Location Address575 E HARDY ST, SUITE 322Inglewood, CA 90301-4036
Mailing AddressPo Box 260458Encino, CA 91426-0458 · (818) 784-4201 · Fax (818) 784-4206
Fax(310) 671-7618
Sole ProprietorYes
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1973
Enumeration DateSeptember 26, 2005
Last NPPES UpdateMay 3, 2008
NPI 1346236205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in CA · G060194
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
575 E HARDY ST, Inglewood, CA 90301

Other Identifiers 3

Medicare UPINA 53564
Medicaid00G60194CA
Medicare ID-Type UnspecifiedG060194

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jack E Rubin M.d. 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 ID6709801848
PECOS Enrollment IDI20051007000804
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
154 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services13 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
15 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90301 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims31 services$6.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist (Foot & Ankle Surgery)
575 E HARDY ST, SUITE 212
INGLEWOOD, CA 90301
Internal Medicine (Cardiovascular Disease)
575 E HARDY ST, SUITE 305
INGLEWOOD, CA 90301
Pediatrics
575 E HARDY ST, STE 221
INGLEWOOD, CA 90301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 E HARDY ST, SUITE 322
INGLEWOOD, CA 90301
Obstetrics & Gynecology
575 E HARDY ST
INGLEWOOD, CA 90301
Surgery (Vascular Surgery)
575 E HARDY ST, SUITE 322
INGLEWOOD, CA 90301
Internal Medicine (Nephrology)
575 E HARDY ST, SUITE 104
INGLEWOOD, CA 90301
Internal Medicine (Nephrology)
575 E HARDY ST, SUITE #104
INGLEWOOD, CA 90301

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 Jack Rubin's NPI number?

The NPI number for Jack Rubin is 1346236205. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Jack Rubin located?

Jack Rubin practices at 575 E Hardy St Suite 322, Inglewood, CA 90301. The listed phone number is (310) 671-0488.

What is Jack Rubin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jack Rubin enrolled in Medicare?

Yes. Jack 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.

When was this NPI record last updated?

The NPPES record for Jack Rubin was last updated on May 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.