Individual provider Active NPI

Barbara A. Lubin, MD

  • Family Medicine Physician
  • Panama City, FL
National Provider Identifier
1629007885
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME52928 Issued in FL
Practice address
1124 Jenks Ave
Panama City, FL 32401-2439
Phone
(850) 785-8246
Fax
(850) 785-8249
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME52928 FL Primary

Addresses

Primary practice location

1124 Jenks Ave
Panama City, FL 32401-2439

Mailing address

1124 Jenks Ave
Panama City, FL 32401-2439
Phone (850) 785-8246

Other identifiers 1

IdentifierTypeStateIssuer
05877OtherFLBCBS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20070314000372 FL Practitioner - Family Practice 1658474564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1124 Jenks Ave
Panama City, FL 32401-2439
Phone (850) 785-8246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME52928FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara a Lubin MD LLC CurrentSince Oct 1, 2015 Accepting new patients
Primecare of NW FL Family Medicine Past Accepting new patients
Acsh Primary Care of Florida, LLC PastSince Sep 1, 2014 Accepting new patients

Locations

756 Harrison Ave
Panama City, FL 32401
Phone (850) 640-1530

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBECAD/Endpoint/IBECAD

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1629007885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012439",
            "telephone_number": "850-785-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012439",
            "telephone_number": "850-785-8246",
            "fax_number": "850-785-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "BARBARA",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME52928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "05877",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.