MARK N. RUBIN (MD) – Neurology Physician, NPI 1104055169

MARK N. RUBIN (MD) is a healthcare provider. based in Chicago, Illinois. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. 36.138197 (IL). The NPI Number for MARK N. RUBIN (MD) is 1104055169

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MARK N. RUBIN (MD)
NPI
1104055169
Phone
(630) 447-0561
Address
2045 W GRAND AVE STE B
Enumeration Date
10 July 2009
Last Update Date
11 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8475032005
Graduation Year
2009 (17 years ago)
PAC ID
9931394491
Group Practice PAC ID
2163334699
Professional Enrollment ID
I20150812007830
Address ID
IL600261339GL2180XRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:16State licenses:1Digital endpointsOther names

1,188 NEUROLOGY in IL

Provider Addresses for MARK N. RUBIN (MD)

  • 2045 W GRAND AVE STE B

    CHICAGO, IL 606121577

    Phone: (630) 447-0561

    Type: Mailing

  • 22285, Pepper Road, Cuba, Lake Barrington, Lake County, Illinois, 60010, United States

    SUITE 401

    LAKE BARRINGTON, IL 600102538

    Phone: (847) 882-6604

    Fax: (847) 882-6228

    Type: Location

  • 1552 S ROUTE 59 # 1222

    NAPERVILLE, IL 605645941

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $1,000.

Total Amount is formed as General ($1,000) + Research ($0) + Ownership ($0) = $1,000.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: NeuraSignal Inc. ($1,000).

Total Amount

$1,000

General + Research + Ownership

Payments

2

Total payment records

General Amount

$1,000

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
NeuraSignal Inc.$1,000
View all Open Payments →|Open Payments Risk Radar →

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: 2022-01-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150812007830INeurologyILTBD
I20191008004013INeurologyTNTBD
I20201109000617INeurologyOHTBD
I20211123000855INeurologyPATBD
I20220120001104INeurologyCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60612)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163334699View full group profile
NameSpecialtyState
-IL
E N D O C R I N O L O G YIL
N E U R O L O G YIL
Hospitalist, Internal MedicineIL
O P H T H A L M O L O G YIL
-IL
E N D O C R I N O L O G YIL
Cardiovascular Disease (Cardiology), Interventional CardiologyIL
Clinical Social WorkerIL
Certified Nurse Midwife (Cnm)IL

Reviews

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Frequently asked questions

What federal number belongs to MARK N. RUBIN (MD)?
The federal identifier for MARK N. RUBIN (MD) is NPI 1104055169.
Is MARK N. RUBIN (MD) currently active in the NPI registry?
CMS-published data lists MARK N. RUBIN (MD) as an active registrant.
What field does MARK N. RUBIN (MD) work in?
You can think of MARK N. RUBIN (MD) as practicing within Neurology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK N. RUBIN (MD)?
We surface Chicago, Illinois for MARK N. RUBIN (MD) based on available NPPES addresses.
Is MARK N. RUBIN (MD) a real provider?
This page reflects official NPPES data for NPI 1104055169. Always confirm identity and privileges with the practice and licensing boards.

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