SANDER RUBIN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1871905703
Sports Medicine (Family Medicine) Physician
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NPPES metrics only — not quality of care.
340 SPORTS MEDICINE in IL
Provider Addresses for SANDER RUBIN (M.D.)
680 NORTH LAKE SHORE DRIVE
1000
CHICAGO, IL 60611
Phone:
Type: Mailing
27650 FERRY RD
WARRENVILLE, IL 60555
Phone: (630) 225-2663
Type: Location
26750 Providence Pkwy Ste 220
Novi, MI 483741212
Phone: (248) 596-0412
Fax: (248) 596-0418
Type: Location
17877 W 14 Mile Rd
Beverly Hills, MI 480253127
Phone: (248) 644-3920
Fax: (248) 644-2569
Type: Location
24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 480254345
Phone: (248) 988-8085
Fax: (248) 988-8565
Type: Location
45816 Schoenherr Rd
Shelby Twp, MI 483156028
Phone: (586) 842-2400
Fax: (586) 991-6054
Type: Location
26025 Lahser Rd Fl 2
Southfield, MI 480332606
Phone: (248) 663-1900
Fax: (248) 663-1901
Type: Location
1350 Kirts Blvd Ste 160
Troy, MI 480844852
Phone: (248) 244-9426
Fax: (248) 244-9495
Type: Location
4967 Crooks Rd Ste 100
Troy, MI 480985812
Phone: (248) 846-8060
Fax: (248) 590-2063
Type: Location
30575 Woodward Ave
Royal Oak, MI 480730980
Phone: (248) 280-8550
Fax: (248) 280-8571
Type: Location
3231 Euclid Ave Fl 5
MacNeal Family Medicine Center
Berwyn, IL 604024603
Phone: (708) 783-2000
Fax: (708) 783-3656
Type: Location
885 Roosevelt Rd
Glen Ellyn, IL 60137
Phone: (630) 225-2663
Type: Location
26211 CENTRAL PARK BLVD STE 201
SOUTHFIELD, MI 480764158
Phone: (248) 845-4381
Type: Mailing
33200 W 14 MILE RD STE 220
WEST BLOOMFIELD, MI 483223586
Phone: (248) 855-7400
Fax: (248) 626-6481
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-11-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180725003048 | I | Sports Medicine | IL | TBD |
| I20251113001255 | I | Sports Medicine | MI | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 346 | 108 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 281 | 53 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 250 | 128 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 188 | 135 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 166 | 74 | $0 |
Insurance plans in this area (ZIP 60611)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| - | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Sports Medicine, Orthopedic Surgery | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI |
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