Active NPI
Larry Schibuk
- Psychiatry Physician
- Marlborough, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 276801
- Practice address
- 157 Union St
Marlborough, MA 01752 - Phone
- (508) 486-5000
- Fax
- (508) 486-5480
- NPI assigned
- Feb 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | E-10319 | AR | |
| Psychiatry Physician | 2084P0800X | 276801 | MA | Primary |
Addresses
Primary practice location
157 Union St
Marlborough, MA 01752
Mailing address
90 Fawcett St Unit 240
Cambridge, MA 02138-1186
Phone (857) 317-9113
Other practice location 1
157 Union St
Marlborough, MA 01752
Phone (508) 486-5000
Other names 1
- Dr. Larry Schibuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Boston University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lahey Clinic Inc
Practice addresses (Care Compare)
29 Mall Rd
Burlington, MA 01805-0001
41 Mall Rd
Burlington, MA 01805-0001
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.98 of 100
- Quality
- 76.59
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lahey Clinic, Inc. | Current | Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients | |
| Lahey Clinic, Inc | Current | Accepting new patients | |
| Umass Memorial Medical Group Inc | Psychiatry | Current | Accepting new patients |
Locations
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
Interoperability endpoints
- lschibuk147949@direct.bilh.masshiway.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Peabody, MA
- NPI 1063447316
-
- Internal Medicine Physician
- Burlington, MA
- NPI 1538194980
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Psychiatry
-
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, MA
- NPI 1558392563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1467991588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 FAWCETT ST UNIT 240",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381186",
"telephone_number": "857-317-9113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 UNION ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "01752",
"telephone_number": "508-486-5000",
"fax_number": "508-486-5480"
}
],
"practiceLocations": [
{
"address_1": "157 Union St",
"address_purpose": "LOCATION",
"city": "Marlborough",
"state": "MA",
"postal_code": "01752",
"country_code": "US",
"telephone_number": "508-486-5000",
"fax_number": "508-486-5480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHIBUK",
"first_name": "LARRY",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AR",
"license": "E-10319",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "276801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "SCHIBUK",
"prefix": "DR.",
"credential": "MD, FRCP(C)",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.