Individual provider Active NPI

Donald A Kuebel, M.D.

  • Pulmonary Disease Physician
  • Covington, LA
National Provider Identifier
1669421772
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
018242 Issued in LA
Practice address
1203 S Tyler St
Suite 200
Covington, LA 70433-2353
Phone
(985) 892-9143
Fax
(985) 892-9656
NPI assigned
May 8, 2006
Last updated
Nov 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 018242 LA
Pulmonary Disease Physician 207RP1001X 018242 LA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 018242 LA

Addresses

Primary practice location

1203 S Tyler St
Suite 200
Covington, LA 70433-2353

Mailing address

1203 S Tyler St
Suite 200
Covington, LA 70433-2353
Phone (985) 892-9143

Other identifiers 1

IdentifierTypeStateIssuer
1902900MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20080222000483 LA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2466351556 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2020 Accepting new patients

Locations

1203 S Tyler St
Ste 200
Covington, LA 70433
Phone (985) 892-9143

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352851200000",
    "number": "1669421772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST",
            "address_2": "SUITE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST",
            "address_2": "SUITE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEBEL",
        "first_name": "DONALD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2012-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "LA",
            "license": "018242",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "LA",
            "license": "018242",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "LA",
            "license": "018242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902900",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.