Individual provider Active NPI

Tereza Hubkova, MD

  • Internal Medicine Physician
  • Overland Park, KS
National Provider Identifier
1609837293
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0442729 Issued in KS
Practice address
7840 W 165TH St Ste 110
Overland Park, KS 66223-3021
Phone
(913) 632-3550
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 204004 MA
Internal Medicine Physician 207R00000X 0442729 KS Primary

Addresses

Primary practice location

7840 W 165TH St Ste 110
Overland Park, KS 66223-3021

Mailing address

7840 W 165TH St Ste 110
Overland Park, KS 66223-3021
Phone (913) 632-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0442729KSMDInternal Medicine Physician
204004MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holyoke Health Center Inc. Past Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Holyoke Health Center Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1609837293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-632-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 W 165TH ST STE 110",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662233021",
            "telephone_number": "913-632-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBKOVA",
        "first_name": "TEREZA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "204004",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0442729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.