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RUBIN FAMILY MEDICINE
NPI 1609310176
Family Medicine - Adult Medicine in Punta Gorda, FL

Active since December 18, 2016CLIA 10D2126878 · Waiver
25097 OLYMPIA AVE, 203, PUNTA GORDA, FL 33950(941) 347-8744(941) 347-8756 Get Directions Write a Review

NPPES record last updated: October 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2017, Dec 18, 2016 (2 updates tracked since 2016).

About Rubin Family Medicine NPPES

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

RUBIN FAMILY MEDICINE (NPI 1609310176) is a healthcare organization registered as an adult medicine in Punta Gorda, Florida and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Keith Martin Rubin, Owner, as its authorized official.

NPPES Registry Identity

NPI1609310176
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameRUBIN FAMILY MEDICINE
Location Address25097 OLYMPIA AVE, 203Punta Gorda, FL 33950-3912
Mailing Address25097 Olympia Ave, 203Punta Gorda, FL 33950-3912 · (941) 347-8744 · Fax (941) 347-8756
Phone(941) 347-8744
Fax(941) 347-8756
Organization SubpartNo
Authorized OfficialKeith Martin RubinOwner · (941) 347-8744
Enumeration DateDecember 18, 2016
Last NPPES UpdateOctober 17, 20172 updates tracked since enumeration
✔ NPI 1609310176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in FL · OS8591
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
25097 OLYMPIA AVE, Punta Gorda, FL 33950
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rubin Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rubin Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Keith Rubin, D.O.
Family Practice
NPI 1043348154
25097 OLYMPIA AVE STE 203
Punta Gorda, FL 33950
(941) 347-8744
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2126878

Rubin Family Medicine · Punta Gorda, FL
Active · expires Mar 6, 2027
CLIA Number10D2126878
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorKeith M. Rubin
Laboratory Phone(941) 347-8744
Laboratory LocationRubin Family Medicine25097 East Olympia Ave Ste 203, Punta Gorda, FL 33950
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rubin Family Medicine's NPI number?

The NPI number for Rubin Family Medicine is 1609310176. It was assigned to this organization in the NPPES registry on December 18, 2016.

Where is Rubin Family Medicine located?

Rubin Family Medicine is located at 25097 Olympia Ave 203, Punta Gorda, FL 33950. The listed phone number is (941) 347-8744.

What is Rubin Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Rubin Family Medicine enrolled in Medicare?

Yes. Rubin Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rubin Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Rubin Family Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rubin Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2126878) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rubin Family Medicine was last updated on October 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.