Active NPI
Kurt Leonard Dubay, PA
- Surgical Physician Assistant
- Brookfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 4694
- Practice address
- 60 Old New Milford Rd Ste 3E
Brookfield, CT 06804-2414 - Phone
- (203) 775-6205
- NPI assigned
- Oct 18, 2018
- Last updated
- Jun 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 4694 | CT | Primary |
Addresses
Primary practice location
60 Old New Milford Rd Ste 3E
Brookfield, CT 06804-2414
Mailing address
24 Applegate LN
Monroe, CT 06468-1264
Phone (860) 830-5735
Other practice location 1
7785 N State St
Lowville, NY 13367-1297
Phone (315) 376-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
161 Boston Ave
Bridgeport, CT 06610-1662
Phone (203) 333-4400
1918 Black Rock Tpke
Fairfield, CT 06825-3543
Phone (203) 583-8400
389 Bridgeport Ave
Shelton, CT 06484-5303
Phone (203) 567-4171
4200 Main St
Bridgeport, CT 06606-2303
Phone (203) 916-5151
527 Elm St
New Haven, CT 06511-4549
Phone (203) 675-1345
57 Monroe Tpke
Trumbull, CT 06611-1315
Phone (203) 675-1345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4694 | CT | MD | Occupational Therapist |
Interoperability endpoints
- kurtdubay@oscpc.allscriptsdirect.net
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Urgent Care Clinic/Center
- Bridgeport, CT
- NPI 1487087250
-
- Emergency Medicine Physician
- Rochester, NY
- NPI 1003075029
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1629544564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 APPLEGATE LN",
"city": "MONROE",
"state": "CT",
"postal_code": "064681264",
"telephone_number": "860-830-5735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 OLD NEW MILFORD RD STE 3E",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068042414",
"telephone_number": "203-775-6205"
}
],
"practiceLocations": [
{
"address_1": "7785 N State St",
"address_purpose": "LOCATION",
"city": "Lowville",
"state": "NY",
"postal_code": "133671297",
"country_code": "US",
"telephone_number": "315-376-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBAY",
"first_name": "KURT",
"middle_name": "LEONARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-18",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "4694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.