Daniel William Dubovsky, MB CHB, FCP ( SA )

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

029866 Issued in GA

Practice address

5670 Peachtree Dunwoody Rd NE
Atlanta, GA 30342-1699

Phone

(404) 851-2330

NPI assigned

Nov 2, 2005

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• NSH Cancer Institute Professional Services a LLC

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1215288378
  Medicare reassignment NPD
• NSH Cancer Institute Professional Services a LLC

  • Durable Medical Equipment & Medical Supplies
  • Decatur, GA
  • NPI 1750631792
  NPD
• Atlanta Cancer Care

  • Hematology & Oncology Physician
  • Atlanta, GA
  • NPI 1497794309
  NPD (past)
• Northside Hospital, Inc.

  dba Northside Gwinnett Joan Glancy

  • Rehabilitation Hospital Unit
  • Duluth, GA
  • NPI 1134168016
  NPD (past)
• Northside Hospital, Inc.

  dba Atlanta Cancer Care

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1861416562
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1255322848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FERRY RD NE",
            "address_2": "SUITE 510",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303421709",
            "telephone_number": "404-419-1140",
            "fax_number": "404-419-1164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-851-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOVSKY",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MB CHB, FCP ( SA )",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "29866",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "029866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00365736A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merle D Dubois
• Alicia Duboise, LPN
• Traci Elmore Dubon, LMSW
• David Dewayne Dubose, PA
• Jasmine D Dubose
• Katelyn Dubroc, CNIM
• Marie Ducey
• Molly Ducey, CCC-SLP
• Karman Duchon, MD
• Susan S Duckwall, P.A.

• Hematology & Oncology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.