Michael Jeremy Jubang, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD441379 Issued in PA

Practice address

100 N. Academy Ave
Danville, PA 17822-0462

Phone

(570) 271-6301

NPI assigned

Aug 5, 2007

Sex

Male

Sole proprietor

No

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 TX

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

Diagnostic Radiology

Education

University of Texas Medical Branch at Galveston, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596
• Medical City Denton Hospital, Denton, TX, CCN 450634
• Medical City Arlington Hospital, Arlington, TX, CCN 450675
• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

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.

• Rose Imaging Specialists PA

  • Diagnostic Ultrasound Physician
  • Houston, TX
  • NPI 1164478186

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875
  Medicare reassignment Care Compare group NPD
• Jefferson Radiology, PC

  • Diagnostic Radiology Physician
  • Hartford, CT
  • NPI 1396795951

  TX

  Medicare reassignment NPD
• Rose Imaging Specialists, PA

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1851796171
  NPD
• Community Radiology Associates P a

  • Diagnostic Radiology Physician
  • Austin, TX
  • NPI 1174573273
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of Arlington Subsidiary LP

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  Care Compare affiliation
• Columbia Medical Center of Denton Subsidiary LP

  • General Acute Care Hospital
  • Denton, TX
  • NPI 1306897277
  Care Compare affiliation
• Columbia Medical Center of McKinney Subsidiary LP

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation
• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• North Texas - Mca LLC

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1457542631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 3RD ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220462",
            "telephone_number": "570-271-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBANG",
        "first_name": "MICHAEL",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "BP1-0028963",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD441379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 4651659625",
            "identifier": "4651659625",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Kristopher Jones, M.D.
• Amy Jordan
• Raeanne Kathleen Jordan, RDN
• Jaison Jose, D.O.
• Nycole Kashka Joseph, MD
• Seung Yeon Jung, DO
• Jacqueline Marie Junkins Hopkins, MD
• Naphtali Hertz Justman
• Rizwanul Kabir, MD
• Michael Kachmarsky

• Diagnostic Radiology Physician in Danville, PA
• Providers in Danville, PA by specialty
• Diagnostic Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.