Active NPI
Michael D. Dubriwny, MD
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1659341808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11361
- Practice address
- 6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326 - Phone
- (918) 491-5752
- Fax
- (918) 491-5753
- NPI assigned
- Jan 23, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11361 | OK | Primary |
Addresses
Primary practice location
6655 S Yale Ave
Laureate Psychiatric Clinic and Hospital
Tulsa, OK 74136-3326
Mailing address
PO Box 21228
Department 31
Tulsa, OK 74121-1228
Phone (918) 491-5752
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100059960A | Medicaid | OK | |
| 4054284 | Other | AETNA BEHAVIORAL HEALTH | |
| 72971 | Other | CIGNA BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.86 of 100
- Quality
- 85.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11361 | OK | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1659341808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21228",
"address_2": "DEPARTMENT 31",
"city": "TULSA",
"state": "OK",
"postal_code": "741211228",
"telephone_number": "918-491-5752",
"fax_number": "918-491-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 S YALE AVE",
"address_2": "LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL",
"city": "TULSA",
"state": "OK",
"postal_code": "741363326",
"telephone_number": "918-491-5752",
"fax_number": "918-491-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBRIWNY",
"first_name": "MICHAEL",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "11361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100059960A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "4054284",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "72971",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.