Individual provider Active NPI

Hajrunisa Cubro, MD

  • Gynecology Physician
  • Montgomery, AL
National Provider Identifier
1649730136
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD.46745 Issued in AL
Practice address
1725 Pine St
Montgomery, AL 36106-1117
Phone
(334) 293-8000
NPI assigned
Mar 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gynecology Physician 207VG0400X MD.46745 AL Primary

Addresses

Primary practice location

1725 Pine St
Montgomery, AL 36106-1117

Mailing address

1725 Pine St
Montgomery, AL 36106-1117
Phone (334) 293-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231013000372 AL Practitioner - Obstetrics/Gynecology 9032564869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians

Practice addresses (Care Compare)

1722 Pine St
Montgomery, AL 36106-1109

1722 Pine St
Montgomery, AL 36106-1160

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 293-8000

1758 Park PL
Montgomery, AL 36106-1137

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.46745ALMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Oct 1, 2023 Accepting new patients
Jackson Hospital and Clinic Inc CurrentSince Oct 1, 2023 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients
Health Care Authority for Baptist Health an Affiliate of Uabhs Past Accepting new patients

Locations

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

1722 Pine St
Ste 804
Montgomery, AL 36106
Phone (334) 834-7221

1758 Park Pl
Ste 201
Montgomery, AL 36106
Phone (334) 263-3630

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

Interoperability endpoints

  • Direct secure messaging: hajrunisa.cubro.1@9186.direct.athenahealth.com

Organizations & group practices 5

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.

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1649730136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061117",
            "telephone_number": "334-293-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 PINE ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061117",
            "telephone_number": "334-293-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBRO",
        "first_name": "HAJRUNISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "MD.46745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.