Individual provider Active NPI

James G Hubert, DO

  • Vascular Surgery Physician
  • University Park, FL
National Provider Identifier
1275795361
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
OS9568 Issued in FL
Practice address
8029 Cooper Creek Blvd Ste 104
University Park, FL 34201-3003
Phone
(800) 991-6117
Fax
(888) 812-8191
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X OS9568 FL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X OS9568 FL
Vascular Surgery Physician 2086S0129X 340045 OH
Vascular Surgery Physician 2086S0129X OS9568 FL Primary

Addresses

Primary practice location

8029 Cooper Creek Blvd Ste 104
University Park, FL 34201-3003

Mailing address

3820 Northdale Blvd Ste 201
Tampa, FL 33624-1893
Phone (800) 991-6117

Other practice location 1

897 E Iron Ave
Dover, OH 44622-2030
Phone (330) 327-0808

Other practice location 2

2430 Diplomat Pkwy E
Cape Coral, FL 33909-5405
Phone (239) 652-1205

Other identifiers 2

IdentifierTypeStateIssuer
0848104MedicaidOH
107932000OtherOHCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 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
I20151012000515 OH Practitioner - Vascular SurgeryPractitioner - Other (Physician) 9133438237 Practice locations: Uniontown, OH
I20250819001194 FL Practitioner - General Surgery 9133438237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3820 Northdale Blvd
Tampa, FL 33624-1893

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340045OHMDVascular Surgery Physician
4500OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Wazni, PLLC Vascular Surgery CurrentSince Aug 15, 2025 Accepting new patients
Hope Hospice and Community Services, Inc PastSince Feb 1, 2020 Accepting new patients
Colorado Medical Group, PLLC Vascular Surgery PastSince Aug 15, 2025 Accepting new patients

Locations

1900 Glades Rd
Ste 100
Boca Raton, FL 33431
Phone (561) 416-1145

18167 US Highway 19 N
Ste 100
Clearwater, FL 33764
Phone (727) 233-4177

2290 10th Ave N
Ste 101
Lake Worth, FL 33461
Phone (561) 450-2703

3003 S Florida Ave
Ste 101
Lakeland, FL 33803
Phone (863) 687-8990

4619 Little Rd
New Pt Richey, FL 34655
Phone (727) 372-9918

4215 Burns Rd
Ste 260
Palm Beach Gardens, FL 33410

295 NW Peacock Blvd
Port St Lucie, FL 34986

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

3657 Madaca Ln
Tampa, FL 33618

3609 Madaca Ln
Tampa, FL 33618
Phone (720) 253-3071

8029 Cooper Creek Blvd
Ste 104
University Park, FL 34201

16553 S US Highway 301
Wimauma, FL 33598

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1275795361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 COOPER CREEK BLVD STE 104",
            "city": "UNIVERSITY PARK",
            "state": "FL",
            "postal_code": "342013003",
            "telephone_number": "800-991-6117",
            "fax_number": "888-812-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 E Iron Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "OH",
            "postal_code": "446222030",
            "country_code": "US",
            "telephone_number": "330-327-0808",
            "fax_number": "330-365-3761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2430 Diplomat Pkwy E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339095405",
            "country_code": "US",
            "telephone_number": "239-652-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "FL",
            "license": "OS9568",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS9568",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "340045",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS9568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0848104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "107932000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Park, FL

Sources for this page

Verify at the official NPI Registry.