Individual provider Active NPI

Richard Dube, MD

  • Family Medicine Physician
  • Stuart, FL
National Provider Identifier
1356360606
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME36471 Issued in FL
Practice address
2854 SE Federal Hwy
Stuart, FL 34994
Phone
(772) 223-0953
Fax
(772) 223-0987
NPI assigned
Jul 18, 2006
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME36471 FL Primary

Addresses

Primary practice location

2854 SE Federal Hwy
Stuart, FL 34994

Mailing address

2854 SE Federal Hwy
Stuart, FL 34994-5738
Phone (772) 223-0953

Other identifiers 1

IdentifierTypeStateIssuer
066960100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070724000566 FL Practitioner - General PracticePractitioner - Family PracticePractitioner - Internal Medicine 7911008743 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group CurrentSince Apr 1, 2023 Accepting new patients
Jupiter Medical Center Physicians Group Inc Current Accepting new patients
Benaim Eye LLC PastSince Jul 2, 2013 Accepting new patients
Martin Memorial Medical Center Inc Past Accepting new patients
Radiology Services of Jupiter Medical Specialists, LLC Past Accepting new patients
Coastal Care Corporation Past Accepting new patients
Martin Memorial Physician Corporation Inc PastSince Apr 1, 2004 Accepting new patients

Locations

1002 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 741-5695

136 Jupiter Lakes Blvd
Jupiter, FL 33458
Phone (561) 741-5591

2055 Military Trl
Ste 307
Jupiter, FL 33458
Phone (561) 263-7449

5430 Military Trl
Ste 62
Jupiter, FL 33458
Phone (561) 263-4343

2854 SE Federal Hwy
Stuart, FL 34994
Phone (772) 223-0953

Interoperability endpoints

  • FHIR API: https://epicrp.jupitermed.com/oauth2-prd/api/FHIR/R4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCGJBD
  • Direct secure messaging: rdube-doctorsclinic@direct.meditouchehr.com
  • Direct secure messaging: rdube21936@jupitermedicalcenter.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1356360606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349945738",
            "telephone_number": "772-223-0953",
            "fax_number": "772-223-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-223-0953",
            "fax_number": "772-223-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBE",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME36471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066960100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.