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BRYAN W RUBACH M.D.
NPI 1912926205
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Aurora, IL

Active since July 18, 2006PECOS Enrolled
2040 OGDEN AVE STE 301, AURORA, IL 60504(630) 978-6895(630) 375-2905 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2020, Jul 7, 2017 (2 updates tracked since 2017).

About Bryan W Rubach M.d. NPPES

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

BRYAN W RUBACH M.D. (NPI 1912926205) is an individual otolaryngology/facial plastic surgery provider in Aurora, Illinois, licensed in Illinois (364032123) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912926205
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameBRYAN W RUBACHCredential: M.D.
Location Address2040 OGDEN AVE STE 301Aurora, IL 60504-7205
Mailing Address2040 Ogden Ave Ste 301Aurora, IL 60504-7205 · (630) 978-6895 · Fax (630) 375-2905
Phone(630) 978-6895
Fax(630) 375-2905
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1912926205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in IL · 364032123
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
2040 OGDEN AVE STE 301, Aurora, IL 60504
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Other Identifiers 3

Other4506907IL · Blue Cross Blue Shield
MedicaidF80995IL
Other040008621IL · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan W Rubach M.d. 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.

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 Bryan Rubach's NPI number?

The NPI number for Bryan Rubach is 1912926205. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Bryan Rubach located?

Bryan Rubach practices at 2040 Ogden Ave Ste 301, Aurora, IL 60504. The listed phone number is (630) 978-6895.

What is Bryan Rubach's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Bryan Rubach enrolled in Medicare?

Yes. Bryan Rubach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Rubach was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.