Mark Bernard Lubienski, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036071444 Issued in IL

Practice address

372 Red Bud CT
Frankfort, IL 60423-2128

Phone

(708) 710-6048

Fax

(815) 464-1984

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Thoracic SurgeryAlso: General Surgery, Vascular Surgery

Education

Wayne State University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Woundcare, IncGroup PAC ID 3678971389, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lubienski.m@ohis-il.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Advanced Woundcare, Inc

  • General Practice Physician
  • Skokie, IL
  • NPI 1447821459
  Medicare reassignment Care Compare group NPD
• Onsite Health Therapies, LLC

  • Physical Therapist
  • Lincolnwood, IL
  • NPI 1790373454
  NPD
• Cardiothoracic & Vascular Surgical Associates S C

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oak Lawn, IL
  • NPI 1780679407
  NPD (past)
• Heart Care Centers of Illinois, SC

  • Cardiovascular Disease Physician
  • Palos Park, IL
  • NPI 1508810086

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  NPD (past)
• Unified Therapeutics LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1154590305
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1376543025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 RED BUD CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232128",
            "telephone_number": "708-710-6048",
            "fax_number": "815-464-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 RED BUD CT",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232128",
            "telephone_number": "708-710-6048",
            "fax_number": "815-464-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIENSKI",
        "first_name": "MARK",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036071444",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036071444",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lotus Therapy Group Inc
• Steven Lotysz, DDS
• Loving Minds LLC
• Kristin Anne Low, LCPC
• LSC Therapy Group, P.C.
• Luxottica of America Inc. (Pearle Vision #1414)
• Luxury Home Healthcare
• Sarah Ama-Biamah Lyons, LSW
• Michael Lysaught
• Josephine F Lytton

• General Practice Physician in Frankfort, IL
• Providers in Frankfort, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.
• 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.