NPIMap

Individual provider Active NPI

Matthew W Lube, MD

  • Surgical Critical Care Physician
  • Orlando, FL
National Provider Identifier
1104806256
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME0068455 Issued in FL
Practice address
77 W Underwood St
2ND Floor
Orlando, FL 32806-1122
Phone
(407) 649-6884
Fax
(407) 245-7059
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME68455 FL
Surgical Critical Care Physician 2086S0102X ME0068455 FL Primary

Addresses

Primary practice location

77 W Underwood St
2ND Floor
Orlando, FL 32806-1122

Mailing address

77 W Underwood St
2ND Floor
Orlando, FL 32806-1122
Phone (407) 649-6884

Other identifiers 1

IdentifierTypeStateIssuer
263301900MedicaidFL

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
I20090527000040 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6800945726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

77 W Underwood St
Orlando, FL 32806-1122
Phone (407) 896-1100

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 16, 2010 Accepting new patients
Orlando Health Medical Group Inc Surgical Critical Care CurrentSince Dec 16, 2010 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
The Surgical Group of Orlando Surgery Past Accepting new patients
Orlando Health Inc Past Accepting new patients
Orlando Health Inc Past Accepting new patients

Locations

77 Underwood St
Orlando, FL 32806
Phone (407) 649-6884

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1335 Sligh Blvd
Ste 200
Orlando, FL 32806
Phone (407) 649-6884

77 Underwood St
Ste 200
Orlando, FL 32806
Phone (407) 649-6884

77 Underwood St
Fl 2
Orlando, FL 32806
Phone (407) 649-6884

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mlube27334@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1104806256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W UNDERWOOD ST",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061122",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W UNDERWOOD ST",
            "address_2": "2ND FLOOR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061122",
            "telephone_number": "407-649-6884",
            "fax_number": "407-245-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBE",
        "first_name": "MATTHEW",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME68455",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME0068455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263301900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.