Individual provider

Mark Rubin, MD

Neurology Physician Vascular Neurology Physician Medicare enrolled

Mark Rubin, MD is a Neurology Physician in Chicago, IL, registered under NPI 1104055169. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 2045 W GRAND AVE STE B, Chicago, IL 60612. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2045 W GRAND AVE STE B, Chicago, IL 60612 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
36.138197 IL Neurology Physician primary
36.138197 IL Vascular Neurology Physician

This provider holds licence 36.138197 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Neurology
PAC ID
9931394491

Medicare enrolment is recorded as approved under the provider type Practitioner - Neurology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Neurology covers

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. NUCC Health Care Provider Taxonomy, code 2084N0400X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2084N0400X Neurology Physician Neurology 36.138197 IL primary
2084V0102X Vascular Neurology Physician Vascular Neurology 36.138197 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104055169 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 10, 2009
Last updatedNov 11, 2025
StatusActive
Sole proprietorYes
CredentialMD
Practice address 2045 W GRAND AVE STE B
Chicago, IL 60612
(630) 447-0561
This record was updated on Nov 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104055169 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 5 5 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 5 1 1 3

Sum = 41 · next multiple of 10 = 50 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104055169?
NPI 1104055169 is the National Provider Identifier assigned to Mark Rubin, MD in Chicago, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neurology cover?
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
How do I contact Mark Rubin, MD?
The phone number on file with NPPES is (630) 447-0561, last updated Nov 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mark Rubin, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104055169 a valid number?
Yes. 1104055169 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.