Individual provider Active NPI

Charles Michael Hubeny, MD

  • Diagnostic Radiology Physician
  • Roseville, CA
National Provider Identifier
1689602294
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A114492 Issued in CA
Practice address
1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941
Phone
(916) 535-2030
Fax
(916) 536-3061
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A114492 CA Primary

Addresses

Primary practice location

1380 Lead Hill Blvd Ste 100
Roseville, CA 95661-2941

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160408000937 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 8527222884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Missouri, Kansas City, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1380 Lead Hill Blvd
Suite 100
Roseville, CA 95661-2997
Phone (916) 535-2030

Hospital & facility affiliations

  • Mercy Medical Center Redding Hospital, Redding, CA, CCN 050280
  • Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114492CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince May 30, 2023 Accepting new patients
Dignity Health Medical Foundation CurrentSince May 30, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Radiologic Imaging Consultants, LLP Diagnostic Radiology Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology PastSince Mar 19, 2019 Accepting new patients
Community Memorial Health System Past Accepting new patients
Metro Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

1050 Iron Point Rd
Folsom, CA 95630
Phone (916) 365-8484

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2020 Court St
Redding, CA 96001
Phone (530) 243-1236

2380 Bechelli Ln
Redding, CA 96002
Phone (530) 226-1800

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030

3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1689602294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LEAD HILL BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612941",
            "telephone_number": "916-535-2030",
            "fax_number": "916-536-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBENY",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A114492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.