Individual provider Active NPI

David Kubicki

  • Certified Registered Nurse Anesthetist
  • Cincinnati, OH
National Provider Identifier
1275068850
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019522 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 475-8282
NPI assigned
Apr 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 351053 OH
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019522 OH Primary
Registered Nurse 163W00000X L1-0045452 DE
Registered Nurse 163W00000X RN. 66052 PA
Registered Nurse 163W00000X 26NR17485800 NJ

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

7500 State Rd
Cincinnati, OH 45255-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170830000409 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668745464 Reassigns benefits to 9 organizations
I20260618003902 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668745464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians
BPW Medical Associates P CGroup PAC ID 7719878081, 54 clinicians
Anesthesia Group Practice IncGroup PAC ID 1254245137, 396 clinicians
Sandusky Anesthesia LLCGroup PAC ID 3274895271, 117 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

3025 Dixie Hwy
Edgewood, KY 41017-2337
Phone (503) 914-2909

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-5000

3535 Southern Blvd
Kettering, OH 45429-1221
Phone (937) 298-4331

600 N Pickaway St
Circleville, OH 43113-1447
Phone (740) 474-2126

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0045452DEMDRegistered Nurse
26NR17485800NJMDRegistered Nurse
351053OHMDRegistered Nurse
RN. 66052PAMDRegistered Nurse
APRN.CRNA.019522OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Cgi Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Anesthesiology Services Network LTD CurrentSince Oct 10, 2023 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 24, 2017 Accepting new patients
Ogi Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Sandusky Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 30, 2022 Accepting new patients
University of Cincinnati Physicians Company, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 17, 2022 Accepting new patients
Anesthesia Associates of Cincinnati, Inc Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2021 Accepting new patients

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

7661 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4900

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310

Organizations & group practices 10

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 2

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": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1275068850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 STATE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-475-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICKI",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-20",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "351053",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019522",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0045452",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN. 66052",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR17485800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.