Kassia Loueva Kubena, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

K6067 Issued in TX

Practice address

5255 Prue Rd
Ste. 105
San Antonio, TX 78240-1335

Phone

(210) 877-9966

Fax

(210) 877-1162

NPI assigned

Aug 29, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1508859240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 PRUE RD",
            "address_2": "SUITE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401335",
            "telephone_number": "210-877-9966",
            "fax_number": "210-877-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 PRUE RD",
            "address_2": "STE. 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401335",
            "telephone_number": "210-877-9966",
            "fax_number": "210-877-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBENA",
        "first_name": "KASSIA",
        "middle_name": "LOUEVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047539403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Ku
• Kuadra Consulting LLC (Kuadra Consulting and Counseling LLC)
• Anne Su Wah Kuan, MD
• Melissa Kuan, IOM
• Lauren Ann Kubas, MD
• Sarah E Kubes, PHARMD, BCPS
• Andrea Kubicek, LPC
• Kelsi Kucera, OTR
• Alice Kuchenthal
• Anusha Venkatasai Kuchibhotla

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.