Individual provider Active NPI

Karl S Hubach, M.D.

  • Phlebology Physician
  • Murrells Inlet, SC
National Provider Identifier
1356338115
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
17611 Issued in SC
Practice address
4545 Hwy 17 Bypass
Ste. a
Murrells Inlet, SC 29576
Phone
(843) 652-5344
Fax
(843) 652-0067
NPI assigned
Oct 5, 2005
Last updated
Jun 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 17611 SC Primary
Family Medicine Physician 207Q00000X 17611 SC

Addresses

Primary practice location

4545 Hwy 17 Bypass
Ste. a
Murrells Inlet, SC 29576

Mailing address

4545 Hwy 17 Bypass
Ste. a
Murrells Inlet, SC 29576
Phone (843) 652-5344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000086 SC Practitioner - Family PracticePractitioner - Other (Physician) 2062516727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
George Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4545 Hwy 17
Murrells Inlet, SC 29576-5117
Phone (843) 652-5344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal674

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lowcountry Vein Specialists LLC Phlebology CurrentSince Jun 1, 2020 Accepting new patients
Inlet Medical Associates Past Accepting new patients

Locations

4545 Highway 17
Ste A
Murrells Inlt, SC 29576
Phone (843) 652-5344

4545 Highway 17
Murrells Inlt, SC 29576
Phone (843) 652-5344

Interoperability endpoints

  • Direct secure messaging: khubach@directaddress.net

Organizations & group practices 2

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.

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1356338115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 HWY 17 BYPASS",
            "address_2": "STE. A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-652-5344",
            "fax_number": "843-652-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 HWY 17 BYPASS",
            "address_2": "STE. A",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "29576",
            "telephone_number": "843-652-5344",
            "fax_number": "843-652-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBACH",
        "first_name": "KARL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "SC",
            "license": "17611",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "17611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrells Inlet, SC

Sources for this page

Verify at the official NPI Registry.