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DR. SHAFIA RUBEEN M.D.
NPI 1871793430
Family Medicine in Franklin, KY

Active since July 23, 2007PECOS EnrolledAccepts Medicare Assignment
1030 BROOKHAVEN ROAD, FRANKLIN, KY 42134(270) 598-4950(270) 598-4977 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Shafia Rubeen M.d. NPPES

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

DR. SHAFIA RUBEEN M.D. (NPI 1871793430) is an individual family medicine provider in Franklin, Kentucky, licensed in Kentucky (45934) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and is a graduate of Other (2004).

NPPES Registry Identity

NPI1871793430
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAFIA RUBEENCredential: M.D.
Location Address1030 BROOKHAVEN ROADFranklin, KY 42134-2375
Mailing Address1030 Brookhaven RoadFranklin, KY 42134-2375 · (270) 598-4950 · Fax (270) 598-4977
Phone(270) 598-4950
Fax(270) 598-4977
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJuly 23, 2007
Last NPPES UpdateAugust 28, 2013
✔ NPI 1871793430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 45934
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1030 BROOKHAVEN ROAD, Franklin, KY 42134
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Shafia Rubeen M.d. 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 ID2466691191
PECOS Enrollment IDI20251028002598, I20251031002696, I20251101000244, I20251101000282, I20251103003958, I20251104004530, I20251105002476
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 Reassignments

7

Medicare enrollment records show Shafia Rubeen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of Washington Tacoma PLLC
140 mi
Internal Medicine
2745 EXECUTIVE PARK NW
Cleveland, TN 37312
  • Reassigned Medicare billing, Tennessee enrollment
  • 21 clinicians in this Medicare group
NPI 1740911585 (423) 479-8899
Cogent Healthcare Of Tennessee, PC
163 mi
Internal Medicine
400 E TICKLE ST
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
  • 142 clinicians in this Medicare group
NPI 1952654246 (731) 285-2410
Sound Physicians Of Illinois, LLC
254 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • 419 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Hospitalist Medicine Physicians Of Texas, PLLC
683 mi
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Oklahoma and Texas enrollments
  • 284 clinicians in this Medicare group
NPI 1629307095 (281) 540-7700
Inpatient Services, PC
1,012 mi
Internal Medicine
1600 PRAIRIE CENTER PKWY
Brighton, CO 80601
  • Reassigned Medicare billing, Colorado enrollment
  • 101 clinicians in this Medicare group
NPI 1710999768 (303) 498-1600
Sound Physicians Of Wyoming, LLC
1,129 mi
Hospitalist
1233 E 2ND ST
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 108 clinicians in this Medicare group
NPI 1982982708 (800) 822-7201
South Sound Inpatient Physicians PLLC
1,739 mi
Hospitalist
800 W 5TH AVE
Spokane, WA 99204
  • Reassigned Medicare billing, Washington enrollment
  • 915 clinicians in this Medicare group
NPI 1275785107 (509) 458-5800

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

Areas of Expertise CMS Part B claims 3

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.

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.
31 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services27 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
26 services23 patients

Hospital Affiliations CMS Care Compare 2

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42134 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 6

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers19 claims19 services$56.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers49 claims51 services$12.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers64 claims66 services$66.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers74 claims74 services$22.79 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
2 suppliers23 claims23 services$48.13 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers22 claims22 services$138.68 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shafia Rubeen's NPI number?

The NPI number for Shafia Rubeen is 1871793430. It was assigned to this individual provider in the NPPES registry on July 23, 2007.

Where is Shafia Rubeen located?

Shafia Rubeen practices at 1030 Brookhaven Road, Franklin, KY 42134. The listed phone number is (270) 598-4950.

What is Shafia Rubeen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shafia Rubeen enrolled in Medicare?

Yes. Shafia Rubeen 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.

Which organizations bill Medicare for Shafia Rubeen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shafia Rubeen reassigns Medicare benefits to 7 organizations: Hospitalist Medicine Physicians Of Washington Tacoma PLLC (Cleveland, TN), Cogent Healthcare Of Tennessee, PC (Dyersburg, TN), Sound Physicians Of Illinois, LLC (Bridgeton, MO), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Inpatient Services, PC (Brighton, CO) and 2 more organizations, listed in the Medicare section above. Each 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 Shafia Rubeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shafia Rubeen accept?

Health plans from Anthem Blue Cross and Blue Shield list Shafia Rubeen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shafia Rubeen affiliated with any hospitals?

According to CMS data, Shafia Rubeen is affiliated with The Medical Center (bowling Green) and The Medical Center At Scottsville.

When was this NPI record last updated?

The NPPES record for Shafia Rubeen was last updated on August 28, 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.