Konrad Kubicki, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

W5419 Issued in TX

Practice address

5303 Harry Hines Blvd
Dallas, TX 75390-7208

Phone

(214) 645-8800

Fax

(214) 645-8801

NPI assigned

Mar 8, 2020

Last updated

Jul 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1583625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1508491705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 NEWTON AVE",
            "address_2": "APT 16",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753907208",
            "telephone_number": "214-645-8800",
            "fax_number": "214-645-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICKI",
        "first_name": "KONRAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-08",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "W5419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "W5419",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace Kuang
• Courtney Diane Kubala, CRNA
• Gabrielle Kubas, DDS
• Kassandra Fay Kubes, CRNA
• Steve G. Kubicek, CRNA
• Maddie Jessica Kubiliun, M.D
• Nisa M Kubiliun, M.D.
• Matthew Kubit, DPT
• Kristi Ann Kubosh, PHARMD
• Beatrice Kubvaruno, RN

• Neurology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.