John P. Lubisich, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

2000161496 Issued in MO

Practice address

150 W Washington St
San Diego, CA 92103-2005

Phone

(866) 558-4320

Fax

(619) 294-8399

NPI assigned

Feb 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, TX, AK3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

IHS Radiology Medical Group IncGroup PAC ID 1052622024, 65 clinicians

Alaska Imaging Associates LLCGroup PAC ID 5294633590, 27 clinicians

Alaska Native Tribal Health ConsortiumGroup PAC ID 6709780265, 605 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mat-Su Regional Medical Center Hospital, Palmer, AK, CCN 020006
• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Merit-based Incentive Payment System (MIPS)

Final score

35.17 of 100Reported as group

Quality

0

Improvement activities

20

Cost

77.33

Merit-based Incentive Payment System (MIPS)

Final score

86.88 of 100Reported as group

Quality

80

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

90.93 of 100Reported as group

Quality

70.1

Promoting interoperability

100

Improvement activities

40

Cost

83.01

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (12 of 13)

Locations (25 of 30)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jlubisich36336@scrippshlth.medalliesdirect.net

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.

• IHS Radiology Medical Group, Inc.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1497148456

  CA, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Alaska Imaging Associates, LLC

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1063466688

  AK, Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment Care Compare group NPD
• Medical Park Family Care, LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1144392317

  AK

  Medicare reassignment NPD
• Radiology Services of Alaska Inc.

  • Diagnostic Radiology Physician
  • Anchorage, AK
  • NPI 1497021588

  AK, Diagnostic Radiology

  Medicare reassignment NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1093924458
  Care Compare group
• Alaska Native Tribal Health Consortium

  • Ambulatory Surgical Clinic/Center
  • Anchorage, AK
  • NPI 1558570648
  Care Compare group
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Anchorage Imaging Center LLC

  • Radiology Clinic/Center
  • Anchorage, AK
  • NPI 1417615543

  Diagnostic Radiology

  NPD
• McKinley Imaging, LLC

  • Radiology Clinic/Center
  • Fairbanks, AK
  • NPI 1780340836

  Diagnostic Radiology

  NPD
• Valley Upright Imaging LLC

  • Radiology Clinic/Center
  • Wasilla, AK
  • NPI 1861880908

  Diagnostic Radiology

  NPD
• Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1578516829

  Diagnostic Radiology

  NPD (past)

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

• Galen Hospital Alaska, Inc.

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047

  Hospital

  Care Compare affiliation
• Mat-Su Valley Medical Center LLC

  • General Acute Care Hospital
  • Palmer, AK
  • NPI 1417975061

  Hospital

  Care Compare affiliation
• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1194863902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W WASHINGTON ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032005",
            "telephone_number": "866-558-4320",
            "fax_number": "619-294-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBISICH",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2000161496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "173098",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "98753",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205079403",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142019001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imaging_healthcare_specialists@direct.sdhealthconnect.org",
            "affiliation": "N",
            "address_1": "150 W Washington St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921032005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sallie Luangnarinh
• Jean Carla Luansing, PA-C
• Karl M. Luber, MD
• Tia Lee-Thrasher Luber, M.S.W.
• Marcus Lubich
• Debra Lee Lubke, COTA/L
• Emily Lubomirsky
• Ann Arlene Luby, MFT
• Diana Luc
• Alana Lucas, NP-BC

• All providers in San Diego, CA
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.