Organization Active NPI

Kurt T Kubicka MD PLLC

  • Sleep Medicine (Family Medicine) Physician
  • Helena, MT
National Provider Identifier
1265721583
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
7430 Issued in MT
Legal business name
KURT T KUBICKA MD PLLC
Practice address
301 Saddle Dr
Helena, MT 59601-8098
Phone
(406) 443-2101
Fax
(406) 422-0807
NPI assigned
Apr 7, 2011
Last updated
Oct 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Authorized official

Name
Kurt T Kubicka, MDNPI 1992706857
Title
Sole MBR
Phone
(406) 443-2101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 7430 MT Primary

Addresses

Primary practice location

301 Saddle Dr
Helena, MT 59601-8098

Mailing address

301 Saddle Dr
Helena, MT 59601-8098
Phone (406) 443-2101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000861 MT Part B Supplier - Clinic/Group Practice 9436337136 Receives reassigned benefits from 1 practitioner
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

7 W 6th Ave
Ste 511
Helena, MT 59601
Phone (406) 442-7570

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1265721583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SADDLE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-443-2101",
            "fax_number": "406-422-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SADDLE DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018098",
            "telephone_number": "406-443-2101",
            "fax_number": "406-422-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT T KUBICKA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "KUBICKA",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "406-443-2101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MT",
            "license": "7430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.