Individual provider Active NPI

Michael Lamkee Hubner, MD

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1245265834
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20835 Issued in OK
Practice address
2000 S Wheeling Ave
Suite 1100
Tulsa, OK 74104-5649
Phone
(918) 712-8111
Fax
(918) 712-8222
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20835 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave
Suite 1100
Tulsa, OK 74104-5649

Mailing address

1919 S Wheeling Ave
Ste 108
Tulsa, OK 74104-5637
Phone (918) 747-1992

Other identifiers 1

IdentifierTypeStateIssuer
100120150BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000453 OK Practitioner - Internal Medicine 5294703740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Nebraska College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 S Wheeling Ave
Suite 108
Tulsa, OK 74104-5637
Phone (918) 712-8111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael L.Hubner, M.D., P.C. Internal Medicine CurrentSince Aug 1, 2008 Accepting new patients
Ahs Oklahoma Physician Group LLC Internal Medicine Past Accepting new patients
Omni Medical Group Inc Internal Medicine PastSince Aug 1, 2008 Accepting new patients

Locations

1919 S Wheeling Ave
Ste 108
Tulsa, OK 74104
Phone (918) 712-8111

1919 S Wheeling Ave
Ste 102
Tulsa, OK 74104
Phone (918) 748-7680

2000 S Wheeling Ave
Ste 1100
Tulsa, OK 74104
Phone (918) 712-8111

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: michael.hubner.1@13719.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1245265834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE",
            "address_2": "STE 108",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045637",
            "telephone_number": "918-747-1992",
            "fax_number": "918-712-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE",
            "address_2": "SUITE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045649",
            "telephone_number": "918-712-8111",
            "fax_number": "918-712-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBNER",
        "first_name": "MICHAEL",
        "middle_name": "LAMKEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120150B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.