Individual provider Active NPI

Joseph Maurice Kuebker, M.D.

  • Urology Physician
  • Wright Patterson AFB, OH
National Provider Identifier
1689729022
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
01064984A Issued in IN
Practice address
4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433
Phone
(937) 257-9268
NPI assigned
Jan 24, 2007
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 01064984A IN Primary

Addresses

Primary practice location

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433

Mailing address

4881 Sugar Maple Dr
Wright Patterson AFB, OH 45433-5529
Phone (937) 257-9268

Other practice location 1

3535 Pentagon Blvd Ste 320
Beavercreek, OH 45431-1705
Phone (937) 294-1489

Other practice location 2

3737 Southern Blvd Ste 4200
Kettering, OH 45429-0135
Phone (937) 294-1489

Other practice location 3

600 W Main St Ste 340
Troy, OH 45373-3384
Phone (937) 980-7460

Other practice location 4

4000 Miamisburg Centerville Rd Ste 450
Miamisburg, OH 45342-3908
Phone (937) 560-2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220318000661 IN Order and Referring Only - UrologyPractitioner - Urology 5294029203

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1689729022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "454335529",
            "telephone_number": "937-257-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 SUGAR MAPLE DR",
            "city": "WRIGHT PATTERSON AFB",
            "state": "OH",
            "postal_code": "45433",
            "telephone_number": "937-257-9268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3535 Pentagon Blvd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454311705",
            "country_code": "US",
            "telephone_number": "937-294-1489",
            "fax_number": "937-294-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3737 Southern Blvd Ste 4200",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454290135",
            "country_code": "US",
            "telephone_number": "937-294-1489",
            "fax_number": "937-294-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Main St Ste 340",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453733384",
            "country_code": "US",
            "telephone_number": "937-980-7460",
            "fax_number": "937-980-7464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Miamisburg Centerville Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453423908",
            "country_code": "US",
            "telephone_number": "937-560-2011",
            "fax_number": "937-560-2012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUEBKER",
        "first_name": "JOSEPH",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IN",
            "license": "01064984A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wright Patterson AFB, OH

Sources for this page

Verify at the official NPI Registry.