DR. EDMUNDO RAUL RUBIO MD
NPI 1619073491
Internal Medicine - Pulmonary Disease in Roanoke, VA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
2001 CRYSTAL SPRING AVE SW, SUITE 205, ROANOKE, VA 24014(540) 985-8505(540) 344-3313 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Edmundo Raul Rubio Md NPPES

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

DR. EDMUNDO RAUL RUBIO MD (NPI 1619073491) is an individual pulmonary disease provider in Roanoke, Virginia, licensed in Virginia (0101-243666) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1619073491
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. EDMUNDO RAUL RUBIOCredential: MD
Location Address2001 CRYSTAL SPRING AVE SW, SUITE 205Roanoke, VA 24014-2462
Mailing Address2001 Crystal Spring Ave Sw, Suite 205Roanoke, VA 24014-2462 · (540) 985-8505 · Fax (540) 344-3313
Fax(540) 344-3313
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 26, 2013
✔ NPI 1619073491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses✔ Licensed in VA · 0101-243666✔ Licensed in MS · 17151
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 17151 (MS), 0101-243666 (VA)
2001 CRYSTAL SPRING AVE SW, Roanoke, VA 24014

Other Identifiers 3

Medicare ID-Type Unspecified290000149MS · Individual Provider Numbe
Medicaid00124283MS
Medicare UPINH09300MS

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

Dr. Edmundo Raul 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 ID42255044
PECOS Enrollment IDI20080718000030
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 18

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
179 services62 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
149 services140 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
116 services63 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
103 services103 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
63 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services43 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion New River Valley Medical Center

Acute Care Hospitals · Christiansburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490042
Location2900 Lamb CircleChristiansburg, VA 24073 · Montgomery County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Carilion Stonewall Jackson Hospital

Critical Access Hospitals · Lexington, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491304
Location1 Health CircleLexington, VA 24450 · Lexington City County
Emergency services

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24014 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 22

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
10 suppliers76 claims76 services$35.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers166 claims166 services$87.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers166 claims429 services$34.21 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
10 suppliers37 claims204 services$20.20 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers27 claims153 services$13.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers84 claims84 services$57.98 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.

Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Nurse Practitioner (Family)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Internal Medicine (Infectious Disease)
2001 CRYSTAL SPRING AVE SW, SUITE 301
ROANOKE, VA 24014
Physician Assistant
2001 CRYSTAL SPRING AVE SW, SUITE 201
ROANOKE, VA 24014
Dietitian, Registered
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Specialist
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014
Physician Assistant (Medical)
2001 CRYSTAL SPRING AVE SW
ROANOKE, VA 24014

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 Edmundo Rubio's NPI number?

The NPI number for Edmundo Rubio is 1619073491. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Edmundo Rubio located?

Edmundo Rubio practices at 2001 Crystal Spring Ave SW Suite 205, Roanoke, VA 24014. The listed phone number is (540) 985-8505.

What is Edmundo Rubio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Edmundo Rubio enrolled in Medicare?

Yes. Edmundo Rubio 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.

Is Edmundo Rubio affiliated with any hospitals?

According to CMS data, Edmundo Rubio is affiliated with Carilion Medical Center, Carilion New River Valley Medical Center, Carilion Franklin Memorial Hospital, Carilion Stonewall Jackson Hospital and Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Edmundo Rubio was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.