Ozlem Dubauskas, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036103951 Issued in MN

Practice address

111 N County Farm Rd
Wheaton, IL 60187-3977

Phone

(630) 231-0020

Fax

(630) 231-0234

NPI assigned

Aug 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

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 2

Specialty

Psychiatry

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

Crescent Community Health CenterGroup PAC ID 0345343158, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ozlem.dubauskas.1@14350.direct.athenahealth.com

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.

• Crescent Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Dubuque, IA
  • NPI 1720146319
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1467464339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 64TH ST APT 1",
            "city": "LA GRANGE HIGHLANDS",
            "state": "IL",
            "postal_code": "605254532",
            "telephone_number": "708-352-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N COUNTY FARM RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601873977",
            "telephone_number": "630-231-0020",
            "fax_number": "630-231-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAUSKAS",
        "first_name": "OZLEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "036103951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "ozlem.dubauskas.1@14350.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "111 N County Farm Rd",
            "city": "Wheaton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601873977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas F Drost Jr., M.D.
• Kathleen Kane Drouin, LCSW
• Du Page Convalescent Center
• Nancy Duarte-Gomez, PSYD/LCPC
• Kristina Izabel Duarte, RN
• Elana Dubin, PA-C
• Jennifer Anne Dubos, M.A., L.P.C.
• Joseph B Dubowski, M.S., LMFT
• Dianna Duddy, BCBA
• Shannon Dudzienski, LCSW

• Psychiatry Physician in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.