Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KOBY SCOTT SARUBIN DDS
NPI 1912358979
Dentist in Baltimore, MD

Q: What is Koby Sarubin's NPI number?

The NPI number for Koby Sarubin is 1912358979. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Q: What is Koby Sarubin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Koby Sarubin was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since June 30, 2016PECOS Enrolled

711 W40TH ST, STE 213, BALTIMORE, MD 21211(410) 549-9500 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 19, 2026, Jul 21, 2022, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Koby Scott Sarubin Dds NPPES

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

DR. KOBY SCOTT SARUBIN DDS (NPI 1912358979) is an individual dentist in Baltimore, Maryland, licensed in Maryland (16227) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1912358979

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KOBY SCOTT SARUBINCredential: DDS

Location Address711 W40TH ST, STE 213Baltimore, MD 21211

Mailing Address711 W40th St, Ste 213Baltimore, MD 21211 · (410) 889-7100

Phone(410) 549-9500

Sole ProprietorNo

Enumeration DateJune 30, 2016

Last NPPES UpdateAugust 19, 20266 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1912358979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MD · 16227

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

711 W40TH ST, Baltimore, MD 21211

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Secondary Practice Location 1

Location 11601 SW Archer Rd, Dental Service (160)Gainesville, FL 32608-1135 · Phone (352) 376-1611 ext. 6335

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Koby Scott Sarubin Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21211 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAN O'CONNOR DMD

Dentist

711 W40TH ST, STE 213
BALTIMORE, MD 21211

Baltimore City (410) 889-7100

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 Koby Sarubin's NPI number?

The NPI number for Koby Sarubin is 1912358979. It was assigned to this individual provider in the NPPES registry on June 30, 2016.

Where is Koby Sarubin located?

Koby Sarubin practices at 711 W40th St Ste 213, Baltimore, MD 21211. The listed phone number is (410) 549-9500.

What is Koby Sarubin's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Koby Sarubin enrolled in Medicare?

Yes. Koby Sarubin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Koby Sarubin was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.