NPIMap

Individual provider Active NPI

Nicholas J Kubik III, MD

  • Specialist
  • Moon Township, PA
National Provider Identifier
1548252190
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD069507L Issued in PA
Practice address
725 Cherrington Pkwy
Ste 200
Moon Township, PA 15108-4318
Phone
(412) 262-7800
Fax
(412) 262-2277
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD069507L PA Primary

Addresses

Primary practice location

725 Cherrington Pkwy
Ste 200
Moon Township, PA 15108-4318

Mailing address

5820 Centre Ave
Pittsburgh, PA 15206-3710
Phone (412) 661-5500

Other identifiers 1

IdentifierTypeStateIssuer
MD069507LOtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100412000033 PA Practitioner - Orthopedic Surgery 5890821334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

725 Cherrington Pkwy
Suite 200
Moon Township, PA 15108-4318
Phone (412) 262-7800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement38
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD069507LPAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Pittsburgh Orthopaedic Associates, Inc. CurrentSince Aug 1, 2003 Accepting new patients
Greater Pittsburgh Orthopaedic Associates Inc CurrentSince Aug 1, 2003 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

144 Emeryville Dr
Ste 130
Cranberry Township, PA 16066
Phone (412) 262-7800

725 Cherrington Pkwy
Ste 200
Moon Twp, PA 15108
Phone (412) 262-7800

5820 Centre Ave
Pittsburgh, PA 15206
Phone (412) 661-6484

1099 Ohio River Blvd
Sewickley, PA 15143
Phone (412) 741-5670

Interoperability endpoints

  • Direct secure messaging: nicholas.kubik@gpoa.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1548252190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063710",
            "telephone_number": "412-661-5500",
            "fax_number": "412-661-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 CHERRINGTON PKWY",
            "address_2": "STE 200",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084318",
            "telephone_number": "412-262-7800",
            "fax_number": "412-262-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIK",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD069507L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD069507L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.