David A Gubin, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

26045 Issued in TN

Practice address

6029 Walnut Grove Rd.
Suite 300
Memphis, TN 38120

Phone

(901) 767-8158

Fax

(901) 767-1555

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MO, MS, AR4 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 4

Specialty

Urology

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Group PCGroup PAC ID 9739153354, 17 clinicians

Pemiscot County Memorial HospitalGroup PAC ID 8426024159, shared by 8 NPIs, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pemiscot County Memorial Hospital Hospital, Hayti, MO, CCN 260780
• Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228
• St Francis Hospital Hospital, Memphis, TN, CCN 440183
• Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Merit-based Incentive Payment System (MIPS)

Final score

96.43 of 100Reported as group

Quality

92.86

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dgubin25083@mlh.direct-ci.com
• Direct secure messaging: david.gubin.1@1407.direct.athenahealth.com

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.

• Urology Group PC

  • Urology Physician
  • West Memphis, AR
  • NPI 1730621624
  Medicare reassignment Care Compare group
• Urology Group PC

  • Urology Physician
  • Germantown, TN
  • NPI 1053346064
  Medicare reassignment NPD
• Pemiscot County Memorial Hospital

  • Emergency Care Clinic/Center
  • Hayti, MO
  • NPI 1578668661
  Medicare reassignment NPD
• Urology Group PC

  • Urology Physician
  • Southaven, MS
  • NPI 1093973836
  Medicare reassignment
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  NPD

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

• Amisub (SFH), Inc.

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1952326977
  Care Compare affiliation
• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation
• Saint Francis Hospital - Bartlett, Inc.

  • General Acute Care Hospital
  • Bartlett, TN
  • NPI 1811929151
  Care Compare affiliation
• Pemiscot County Memorial Hospital

  • Rural Acute Care Hospital
  • Hayti, MO
  • NPI 1437179710
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1235164286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD.",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-8158",
            "fax_number": "901-767-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD.",
            "address_2": "SUITE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38120",
            "telephone_number": "901-767-8158",
            "fax_number": "901-767-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBIN",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "MD0000026045",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "119325",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "26045",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "22564",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204679419",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Grycko, OD
• Michelle Elise Grzybowski, PT, DPT
• Guardian Care of TN Homecare
• Ross Phillip Guastella, R.PH.
• Cassidy Gubin, CRNA
• Steven S Gubin, MD
• Alexandria Nicole Gudeman, DO
• Amy Guenther
• Lillian Macrae Guenther, M.D.
• Guerrumberto Jose Guerra, M.D.

• Urology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.