Duane Doyle Shubert, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C1-0005815 Issued in DE

Practice address

153 Beaver Dam Reach
The Woods at Seaside
Rehoboth Beach, DE 19971-6102

Phone

(302) 227-7399

Fax

(302) 227-7398

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

Yes

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 DE

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Pennsylvania State University College of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Unity Behavioral Health, LLC

  • Psychiatry Physician
  • Rehoboth Beach, DE
  • NPI 1255343661
  Medicare reassignment NPD Authorized official
• Sun Behavioral Delaware, LLC

  dba SUN Behavioral Delaware

  • Psychiatric Hospital
  • Georgetown, DE
  • NPI 1891213179
  Medicare reassignment NPD
• Lma Systems Group Inc

  dba Life Management Associates

  • Psychologist
  • Lancaster, PA
  • NPI 1811947120

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639128465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199710714",
            "telephone_number": "302-227-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BEAVER DAM REACH",
            "address_2": "THE WOODS AT SEASIDE",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716102",
            "telephone_number": "302-227-7399",
            "fax_number": "302-227-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUBERT",
        "first_name": "DUANE",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0005815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00001021801",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather M Sheridan Revel
• Sharon Sheridan, MS CCC-SLP
• Xiaojing Shi
• Shore Community Medical LLC
• Jeffrey Lee Shralow, PMHNP-BC
• Kerry William Shutt, PT, DPT
• Shauntey Nicole Singletary, NP
• Smile Studio of Rehoboth LLC
• Alexis Smith
• Ryan T. Sod

• Psychiatry Physician in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Psychiatry Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.