Active NPI
Laurel A Kubby, MD
- Gynecology Physician
- Phoenix, AZ
National Provider Identifier
1427046291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 15298
- Practice address
- 3102 E Indian School Rd
#130
Phoenix, AZ 85016-6872 - Phone
- (602) 252-0202
- Fax
- (602) 424-2053
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 15298 | AZ | Primary |
Addresses
Primary practice location
3102 E Indian School Rd
#130
Phoenix, AZ 85016-6872
Mailing address
3102 E Indian School Rd
#130
Phoenix, AZ 85016-6872
Phone (602) 252-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 21, 2015 through Nov 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15298 | AZ | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234828800000",
"number": "1427046291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3102 E INDIAN SCHOOL RD",
"address_2": "#130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166872",
"telephone_number": "602-252-0202",
"fax_number": "602-424-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3102 E INDIAN SCHOOL RD",
"address_2": "#130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850166872",
"telephone_number": "602-252-0202",
"fax_number": "602-424-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBBY",
"first_name": "LAUREL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2009-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "15298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.