Active NPI
Michel Dubois, M.D.
- Pain Medicine (Anesthesiology) Physician
- New York, NY
National Provider Identifier
1407858947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 201742
- Practice address
- 15 W 72ND St Apt 1E
New York, NY 10023-3419 - Phone
- (212) 988-0402
- Fax
- (347) 244-7212
- NPI assigned
- Aug 15, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 201742 | NY | Primary |
Addresses
Primary practice location
15 W 72ND St Apt 1E
New York, NY 10023-3419
Mailing address
15 W 72ND St
Apt 33E
New York, NY 10023-3473
Phone (212) 988-0402
Other practice location 1
333 E 34th St
Suite 1 N
New York, NY 10016-4977
Phone (212) 988-0402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02111604 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1972553139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1407858947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 W 72ND ST",
"address_2": "APT 33E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233473",
"telephone_number": "212-988-0402",
"fax_number": "347-244-7212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 W 72ND ST APT 1E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100233419",
"telephone_number": "212-988-0402",
"fax_number": "347-244-7212"
}
],
"practiceLocations": [
{
"address_1": "333 E 34th St",
"address_2": "Suite 1 N",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100164977",
"country_code": "US",
"telephone_number": "212-988-0402",
"fax_number": "347-244-7212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBOIS",
"first_name": "MICHEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "201742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02111604",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.