DIANE RUBIN
NPI 1972171098
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Diane Rubin's NPI number?

The NPI number for Diane Rubin is 1972171098. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Diane Rubin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Diane Rubin was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment

1080 N DELAWARE AVE STE 300D, PHILADELPHIA, PA 19125(413) 658-7105 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Diane Rubin NPPES

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

DIANE RUBIN (NPI 1972171098) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP032533) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1972171098

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDIANE RUBIN

Location Address1080 N DELAWARE AVE STE 300DPhiladelphia, PA 19125-4335

Mailing Address5905 Mccallum StPhiladelphia, PA 19144-2709 · (413) 658-7105

Phone(413) 658-7105

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 15, 2021

Last NPPES UpdateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1972171098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP032533

Also ListedRegistered NurseTaxonomy 163W00000X · License RN716633 (PA)

1080 N DELAWARE AVE STE 300D, Philadelphia, PA 19125

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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

Diane Rubin 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 ID5698280600

PECOS Enrollment IDI20250717000259

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 19125 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 14

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

KATY BAKER-COHEN BSN, RN

Registered Nurse