Individual provider Active NPI

Susan Marie Kubica, MD

  • Internal Medicine Physician
  • Monterey, CA
National Provider Identifier
1245321876
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51385 Issued in CA
Practice address
1000 8TH St
Suite 101
Monterey, CA 93940-3664
Phone
(831) 372-1188
Fax
(831) 372-1181
NPI assigned
Sep 27, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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 A51385 CA Primary

Addresses

Primary practice location

1000 8TH St
Suite 101
Monterey, CA 93940-3664

Mailing address

1000 8TH St
Suite 101
Monterey, CA 93940-3664
Phone (831) 372-1188

Other identifiers 1

IdentifierTypeStateIssuer
00A513850MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070606000364 CA Practitioner - Internal Medicine 5698873149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Susan M Kubica MD Professional CorporationGroup PAC ID 6608976840, 2 clinicians

Practice addresses (Care Compare)

1000 8TH St
Monterey, CA 93940-3664
Phone (831) 372-1188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.44 of 100Reported as individual
Quality
88.2
Promoting interoperability
100
Improvement activities
40
Cost
69.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51385CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Community Hospital of the Monterey Peninsula Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1245321876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 8TH ST",
            "address_2": "SUITE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403664",
            "telephone_number": "831-372-1188",
            "fax_number": "831-372-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 8TH ST",
            "address_2": "SUITE 101",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403664",
            "telephone_number": "831-372-1188",
            "fax_number": "831-372-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICA",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A513850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.