Individual provider Active NPI

George Brian Dueber, DO

  • Adult Medicine Physician
  • Westport, WA
National Provider Identifier
1265560049
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
OP00001786 Issued in WA
Practice address
723 N. Montesano
Westport, WA 98595
Phone
(360) 268-0195
Fax
(360) 268-1442
NPI assigned
Mar 1, 2007
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 8497 ND
Adult Medicine Physician 207QA0505X OP00001786 WA Primary

Addresses

Primary practice location

723 N. Montesano
Westport, WA 98595

Mailing address

723 N. Montesano
PO Box 2229
Westport, WA 98595
Phone (360) 268-0195

Other practice location 1

1031 7th St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2131

Other identifiers 2

IdentifierTypeStateIssuer
1461174MedicaidND
#8312522MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ND2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081112000144 WA Practitioner - Family Practice 0345210514 Reassigns benefits to 4 organizations
I20151125000417 ND Practitioner - Family Practice 0345210514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.64 of 100Reported as group
Quality
78.29
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8497NDMDFamily Medicine Physician
OP00001786WAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Feb 24, 2014 Accepting new patients
Pacific County Hospital District 2 CurrentSince May 17, 2022 Accepting new patients
Pacific County Hospital District 2 Family Medicine CurrentSince May 17, 2022 Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Feb 24, 2014 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Presentation Medical Center Past Accepting new patients
Beach Clinic Inc P S Family Medicine PastSince Sep 2, 2000 Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1265560049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N. MONTESANO",
            "address_2": "PO BOX 2229",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "98595",
            "telephone_number": "360-268-0195",
            "fax_number": "360-268-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 N. MONTESANO",
            "city": "WESTPORT",
            "state": "WA",
            "postal_code": "98595",
            "telephone_number": "360-268-0195",
            "fax_number": "360-268-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1031 7th St NE",
            "address_purpose": "LOCATION",
            "city": "Devils Lake",
            "state": "ND",
            "postal_code": "583012719",
            "country_code": "US",
            "telephone_number": "701-662-2131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUEBER",
        "first_name": "GEORGE",
        "middle_name": "BRIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "8497",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "OP00001786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1461174",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "#8312522",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, WA

Sources for this page

Verify at the official NPI Registry.