LOGAN RUBIN DO
NPI 1710731591
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 16, 2024PECOS Enrolled

4160 JOHN R ST STE 1017, DETROIT, MI 48201(313) 745-4123 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Logan Rubin Do NPPES

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

LOGAN RUBIN DO (NPI 1710731591) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710731591

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameLOGAN RUBINCredential: DO

Location Address4160 JOHN R ST STE 1017Detroit, MI 48201-2017

Mailing Address5570 Pedrick Plantation CirTallahassee, FL 32317-8203 · (505) 974-0651

Phone(313) 745-4123

Sole ProprietorYes

Enumeration DateApril 16, 2024

NPPES CertifiedApril 16, 2024

✔ NPI 1710731591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4160 JOHN R ST STE 1017, Detroit, MI 48201

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.