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DR. DAVID MICHAEL RUB MD
NPI 1568020923
Pediatrics in Philadelphia, PA

Active since May 31, 2019PECOS Enrolled
3401 CIVIC CENTER BLVD RM 55, PHILADELPHIA, PA 19104(215) 590-1120 Get Directions Write a Review

NPPES record last updated: May 31, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David Michael Rub Md NPPES

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

DR. DAVID MICHAEL RUB MD (NPI 1568020923) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT217663) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1568020923
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DAVID MICHAEL RUBCredential: MD
Location Address3401 CIVIC CENTER BLVD RM 55Philadelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Rm 55Philadelphia, PA 19104-4319 · (215) 590-1120
Phone(215) 590-1120
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 31, 2019
✔ NPI 1568020923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MT217663
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3401 CIVIC CENTER BLVD RM 55, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David Michael Rub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082186515
PECOS Enrollment IDI20260616003427
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 David Rub reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Medical Group Inc
353 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

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 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

HELEN MARIE STANLEY MD
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
GIULIA STEFANIA PORCARI MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
COLLEEN MORAN SHANNON MD
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
DR. KAITLYN MARIE MURPHY MD
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
DR. JOHN DEPAOLO MD, PHD
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
MORGANN ROSELEEN LOAEC MD
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
DR. SARAH FATIMA JAFFAR MD
Pediatrics (Pediatric Critical Care Medicine)
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220
DR. ELIZABETH KUHN
Pediatrics
3401 CIVIC CENTER BLVD RM 55
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1220

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 David Rub's NPI number?

The NPI number for David Rub is 1568020923. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Where is David Rub located?

David Rub practices at 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104. The listed phone number is (215) 590-1120.

What is David Rub's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is David Rub enrolled in Medicare?

Yes. David Rub is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for David Rub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Rub reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). 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 David Rub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Rub was last updated on May 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.