DR. JONATHAN RUBIN (MD) – Surgery Physician, NPI 1104272228

DR. JONATHAN RUBIN (MD) is a healthcare provider. based in Saint joseph, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 036147844 (IL). The NPI Number for DR. JONATHAN RUBIN (MD) is 1104272228

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN RUBIN (MD)
NPI
1104272228
Phone
(269) 429-0900
Address
1234 NAPIER AVE
Enumeration Date
7 May 2016
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3098294348
Graduation Year
2016 (10 years ago)
PAC ID
7618260258
Group Practice PAC ID
2860616299
Professional Enrollment ID
I20220927001614
Address ID
IL617047313BL1925XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for DR. JONATHAN RUBIN (MD)

  • 1234 NAPIER AVE

    SAINT JOSEPH, MI 490852112

    Phone: (269) 429-0900

    Type: Mailing

  • 10370 HALIGUS RD

    HUNTLEY, IL 601429581

    Phone: (815) 455-2752

    Fax: (815) 455-2789

    Type: Location

  • Hubbard Place, 360, West Hubbard Street, Chicago River North, Chicago, Cook County, Illinois, 60654, United States

    2304

    CHICAGO, IL 606545742

    Phone:

    Type: Mailing

  • Advocate Illinois Masonic Hospital, 836, West Wellington Avenue, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    CHICAGO, IL 606575147

    Phone: (773) 975-1600

    Type: Location

  • 10370 HALIGUS RD STE 201

    HUNTLEY, IL 601429582

    Phone: (815) 455-2752

    Fax: (815) 455-2789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $2,117.

Total Amount is formed as General ($2,117) + Research ($0) + Ownership ($0) = $2,117.

Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,825).

Total Amount

$2,117

General + Research + Ownership

Payments

12

Total payment records

General Amount

$2,117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-18

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-11-19

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
I20220927001614IGeneral SurgeryILTBD
I20251119001164IGeneral SurgeryMITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes18893$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8177$0
99214Established patient office or other outpatient visit, 30-39 minutes3125$0
99204New patient office or other outpatient visit, 45-59 minutes2828$0
99213Established patient office or other outpatient visit, 20-29 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 49085)

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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: 2860616299View full group profile
NameSpecialtyState
Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL

Reviews

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Frequently asked questions

What NPI should I save for DR. JONATHAN RUBIN (MD)?
Save NPI 1104272228 if you need a stable reference for DR. JONATHAN RUBIN (MD).
Is DR. JONATHAN RUBIN (MD)'s NPI currently valid?
The extract we use shows DR. JONATHAN RUBIN (MD) as active.
What field does DR. JONATHAN RUBIN (MD) work in?
You can think of DR. JONATHAN RUBIN (MD) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JONATHAN RUBIN (MD)?
The snapshot lists Saint Joseph, Michigan for DR. JONATHAN RUBIN (MD); download NPPES for the complete set.
What if Saint Joseph, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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