Individual provider Active NPI

Mason I. Hubsher, M.D.

  • Internal Medicine Physician
  • Port Richey, FL
National Provider Identifier
1467441493
Registry record updated Jan 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME81923 Issued in FL
Practice address
6545 Ridge Rd
Suite 4
Port Richey, FL 34668-6836
Phone
(727) 844-7077
Fax
(727) 847-6919
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME81923 FL Primary

Addresses

Primary practice location

6545 Ridge Rd
Suite 4
Port Richey, FL 34668-6836

Mailing address

6545 Ridge Rd
Suite 4
Port Richey, FL 34668-6836
Phone (727) 844-7077

Other identifiers 2

IdentifierTypeStateIssuer
379282000MedicaidFL
1266OtherFLBCBS#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120126000171 FL Practitioner - Internal Medicine 5193611325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81923FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shawkat Kero MD PA PastSince Dec 1, 2009 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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262563200000",
    "number": "1467441493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 RIDGE RD",
            "address_2": "SUITE 4",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686836",
            "telephone_number": "727-844-7077",
            "fax_number": "727-847-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 RIDGE RD",
            "address_2": "SUITE 4",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686836",
            "telephone_number": "727-844-7077",
            "fax_number": "727-847-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBSHER",
        "first_name": "MASON",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2010-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379282000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS#",
            "identifier": "1266",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

Verify at the official NPI Registry.