NICOLAS FANDINO-RUBIO MD
NPI 1396485785
Internal Medicine in Worcester, MA

Q: What is Nicolas Fandino-rubio's NPI number?

The NPI number for Nicolas Fandino-rubio is 1396485785. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Q: What is Nicolas Fandino-rubio's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment

119 BELMONT ST, WORCESTER, MA 01605(508) 334-8515(508) 334-6490 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2026, May 26, 2022 (2 updates tracked since 2022).

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About Nicolas Fandino-rubio Md NPPES

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

NICOLAS FANDINO-RUBIO MD (NPI 1396485785) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Massachusetts (1023880) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and maintains a secondary practice location in Worcester.

NPPES Registry Identity

NPI1396485785

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameNICOLAS FANDINO-RUBIOCredential: MD

Location Address119 BELMONT STWorcester, MA 01605-2903

Mailing AddressPo Box 415318Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(508) 334-8515

Fax(508) 334-6490

Sole ProprietorNo

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2022

Enumeration DateApril 1, 2022

Last NPPES UpdateFebruary 6, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 6, 2026

✔ NPI 1396485785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MA · 1023880

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

119 BELMONT ST, Worcester, MA 01605

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Secondary Practice Location 1

Location 155 Lake Ave NWorcester, MA 01655-0002 · Phone (508) 334-8515 · Fax (508) 334-6490

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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

Nicolas Fandino-rubio 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 ID3779969548

PECOS Enrollment IDI20260218000266

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 Reassignment

Medicare enrollment records show Nicolas Fandino-rubio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc

1.7 mi

Internal Medicine

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1760445373 (508) 334-1000

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.

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220163

Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

DR. PANKAJ ANIL KSHEERSAGAR M.B.B.S.,M.D

Family Medicine