JACK E RUBIN (M.D.) – Nephrology Physician, NPI 1346236205
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,404 NEPHROLOGY in CA
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Provider Addresses for JACK E RUBIN (M.D.)
575, East Hardy Street, Inglewood, Los Angeles County, California, 90301, United States
SUITE 322
INGLEWOOD, CA 903014036
Phone: (310) 671-0488
Fax: (310) 671-7618
Type: Location
PO BOX 260458
ENCINO, CA 914260458
Phone: (818) 784-4201
Fax: (818) 784-4206
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $23,134.
Total Amount is formed as General ($23,134) + Research ($0) + Ownership ($0) = $23,134.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AngioDynamics, Inc. ($22,000).
Total Amount
$23,134
General + Research + Ownership
Payments
32
Total payment records
General Amount
$23,134
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $22,000 |
| Boston Scientific Corporation | $448 |
| Bayer Healthcare Pharmaceuticals Inc. | $261 |
| Ardelyx, Inc. | $190 |
| Novo Nordisk Inc | $80 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-10-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051007000804 | I | Nephrology | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 222 | 27 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 41 | 14 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 15 | 11 | $0 |
Insurance plans in this area (ZIP 90301)
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