Individual provider Active NPI

Douglas F Ciuba, MD

  • Radiation Oncology Physician
  • Columbus, GA
National Provider Identifier
1427058502
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036699 Issued in GA
Practice address
1831 5TH Ave
Columbus, GA 31904-8915
Phone
(706) 571-1050
Fax
(706) 660-2585
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036699 GA Primary

Addresses

Primary practice location

1831 5TH Ave
Columbus, GA 31904-8915

Mailing address

PO Box 2003
Columbus, GA 31902-2003
Phone (706) 320-8738

Other identifiers 1

IdentifierTypeStateIssuer
00544167AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100806000239 GA Practitioner - Radiation Oncology 5496855744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology of Columbus PCGroup PAC ID 3779683024, 3 clinicians

Practice addresses (Care Compare)

1831 5TH Ave
Columbus, GA 31904-8915
Phone (706) 571-1050

Hospital & facility affiliations

  • Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064
  • St Francis Hospital- Emory Healthcare Hospital, Columbus, GA, CCN 110129
  • Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
74.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036699GAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology of Columbus PC Radiation Oncology CurrentSince Aug 9, 1991 Accepting new patients

Locations

1831 5th Ave
Columbus, GA 31904
Phone (706) 320-8700

Interoperability endpoints

  • Direct secure messaging: dciuba@jbacc.direct.varian.com

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.

Hospital & facility affiliations 3

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1427058502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022003",
            "telephone_number": "706-320-8738",
            "fax_number": "706-320-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 5TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048915",
            "telephone_number": "706-571-1050",
            "fax_number": "706-660-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIUBA",
        "first_name": "DOUGLAS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "036699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00544167A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.