SANDER RUBIN (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1871905703

SANDER RUBIN (M.D.) is a healthcare provider. based in Chicago, Illinois. specializing in SPORTS MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301514768 (MI). The NPI Number for SANDER RUBIN (M.D.) is 1871905703

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
SANDER RUBIN (M.D.)
NPI
1871905703
Phone
Not provided
Address
680 NORTH LAKE SHORE DRIVE
Enumeration Date
27 May 2014
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2486631900
Graduation Year
2014 (12 years ago)
PAC ID
1254654403
Group Practice PAC ID
7810277811
Professional Enrollment ID
I20251113001255
Address ID
MI483223586WE33200RDXX502
Telehealth
Yes

Contacts

Secure Messaging
sander.rubin.1@9974.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness95
Years active:12State licenses:1Other names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180725003048ISports MedicineILTBD
I20251113001255ISports MedicineMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg346108$0
J7324Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose28153$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance250128$0
99213Established patient office or other outpatient visit, 20-29 minutes188135$0
20610Aspiration and/or injection of fluid from large joint16674$0
View full utilization report →

Insurance plans in this area (ZIP 60611)

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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: 7810277811View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeMI
-MI
Orthopedic SurgeryMI
Physician AssistantMI
Sports Medicine, Orthopedic SurgeryMI
A N E S T H E S I O L O G YMI
Orthopedic SurgeryMI
-MI
Physician AssistantMI
Physical Therapist In Private PracticeMI

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Frequently asked questions

Is there an official ID for SANDER RUBIN (M.D.) in U.S. healthcare records?
The official identifier for SANDER RUBIN (M.D.) is NPI 1871905703.
Is there an active status for SANDER RUBIN (M.D.)?
For scheduling context, SANDER RUBIN (M.D.) is shown as active in the registry.
How would a patient describe SANDER RUBIN (M.D.)'s focus?
For SANDER RUBIN (M.D.), the primary taxonomy reads as Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SANDER RUBIN (M.D.)?
Directory geography for SANDER RUBIN (M.D.) centers on Chicago, Illinois.
Can I trust this NPI listing for SANDER RUBIN (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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