Individual provider Active NPI

Lawrence M. Dubuske, M.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Washington, DC
National Provider Identifier
1649251778
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
47715 Issued in MA
Practice address
2112 F St NW Ste 501
Washington, DC 20037-2704
Phone
(978) 632-7361
Fax
(978) 632-1573
NPI assigned
Nov 7, 2005
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 47715 MA
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD038893 DC
Rheumatology Physician 207RR0500X 47715 MA
Rheumatology Physician 207RR0500X MD038893 DC
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 47715 MA Primary

Addresses

Primary practice location

2112 F St NW Ste 501
Washington, DC 20037-2704

Mailing address

358 Elm St
Gardner, MA 01440-3926
Phone (978) 632-8408

Other practice location 1

358 Elm St
Gardner, MA 01440-3926
Phone (978) 632-8408

Other identifiers 1

IdentifierTypeStateIssuer
0152749MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050725000324 MA Practitioner - Allergy/Immunology 0648255604 Reassigns benefits to 1 organization
I20110226000065 DC Practitioner - Allergy/Immunology 0648255604 Practice locations: Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Northwestern University Feinberg Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

358 Elm St
Gardner, MA 01440-3933
Phone (978) 632-1573

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD038893DCMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence M. Dubuske, MD CurrentSince Jun 1, 1984 Accepting new patients

Locations

358 Elm St
Gardner, MA 01440
Phone (978) 632-1573

50 Union St
Newton Center, MA 02459
Phone (617) 527-5528

75 Gilcreast Rd
Londonderry, NH 03053
Phone (603) 432-9513

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1649251778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 ELM ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403926",
            "telephone_number": "978-632-8408",
            "fax_number": "978-632-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 F ST NW STE 501",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372704",
            "telephone_number": "978-632-7361",
            "fax_number": "978-632-1573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "358 Elm St",
            "address_purpose": "LOCATION",
            "city": "Gardner",
            "state": "MA",
            "postal_code": "014403926",
            "country_code": "US",
            "telephone_number": "978-632-8408",
            "fax_number": "978-632-1573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBUSKE",
        "first_name": "LAWRENCE",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "47715",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "DC",
            "license": "MD038893",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "47715",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "DC",
            "license": "MD038893",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "MA",
            "license": "47715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152749",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.