NPIMap

Individual provider Active NPI

Alberto Juan Duboy, M.D.

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1003115684
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME124637 Issued in FL
Practice address
12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Phone
(813) 259-8581
Fax
(813) 259-8507
NPI assigned
Mar 21, 2011
Last updated
Apr 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME124637 FL Primary

Addresses

Primary practice location

12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742

Mailing address

12901 Bruce B Downs Blvd
MDC 41
Tampa, FL 33612-4742
Phone (813) 259-8581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170207001420 FL Practitioner - Urology 3476836941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

710 Lomax St
Jacksonville, FL 32204-4015
Phone (904) 355-6583

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME124637FLMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Physician Specialists LLC CurrentSince Aug 1, 2016 Accepting new patients
Florida Physician Specialists LLC Current Accepting new patients
Florida Physician Specialists LLC Urology CurrentSince Aug 1, 2016 Accepting new patients
McIver Urological Clinic Urology Current Accepting new patients

Locations

14540 Old St Augustine Rd
Ste 2401
Jacksonville, FL 32258
Phone (904) 880-4054

710 Lomax St
Jacksonville, FL 32204
Phone (904) 306-6781

710 Lomax St
Ste L
Jacksonville, FL 32204

8774 Perimeter Park Blvd
Jacksonville, FL 32216
Phone (904) 642-6100

Networks

  • FL HMO
  • FL HMO D-SNP
  • FL PPO
  • FL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: albertoduboy@miuc.allscriptsdirect.net
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73052

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1003115684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12901 BRUCE B DOWNS BLVD",
            "address_2": "MDC 41",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124742",
            "telephone_number": "813-259-8581",
            "fax_number": "813-259-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 BRUCE B DOWNS BLVD",
            "address_2": "MDC 41",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336124742",
            "telephone_number": "813-259-8581",
            "fax_number": "813-259-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOY",
        "first_name": "ALBERTO",
        "middle_name": "JUAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME124637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.