Active NPI
Marko Lubardic, MD
- Family Medicine Physician
- Casper, WY
National Provider Identifier
1336765916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 217-T1
- Practice address
- 1522 E a St
Casper, WY 82601-2221 - Phone
- (307) 234-6161
- NPI assigned
- Jun 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 217-T1 | WY | Primary |
Addresses
Primary practice location
1522 E a St
Casper, WY 82601-2221
Mailing address
1522 E a St
Casper, WY 82601-2221
Phone (307) 234-6161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250411001022 | WY | Order and Referring Only - Family Practice | 7719401793 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217-T1 | WY | MD | Family Medicine Physician |
Interoperability endpoints
- marko.lubardic.1@30244.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1336765916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 E A ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012221",
"telephone_number": "307-234-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 E A ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012221",
"telephone_number": "307-234-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBARDIC",
"first_name": "MARKO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-19",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "217-T1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.