Individual provider Active NPI

Brian Daniel Kubiak, M.D.

  • Plastic Surgery Physician
  • Rochester, NY
National Provider Identifier
1699939942
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
250974 Issued in NY
Practice address
360 Linden Oaks Ste 310
Rochester, NY 14625-2814
Phone
(585) 922-5840
Fax
(585) 586-7558
NPI assigned
Jul 16, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 250974 NY Primary

Addresses

Primary practice location

360 Linden Oaks Ste 310
Rochester, NY 14625-2814

Mailing address

360 Linden Oaks Ste 310
Rochester, NY 14625-2814
Phone (585) 922-5840

Other practice location 1

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4518

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.kubiak@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140710000964 NY Practitioner - Plastic and Reconstructive Surgery 0840415675 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Group of Rochester LLCGroup PAC ID 9335133636, 4 clinicians

Practice addresses (Care Compare)

360 Linden Oaks
Suite 310
Rochester, NY 14625-2814
Phone (585) 922-5840

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy27
Melanoma (skin cancer) excision22
Removal of tissue21
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250974NYMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital Plastic Surgery CurrentSince Nov 12, 2020 Accepting new patients
Plastic Surgery Group of Rochester LLC Plastic Surgery CurrentSince Aug 1, 2014 Accepting new patients

Locations

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

360 Linden Oaks
Ste 310
Rochester, NY 14625
Phone (585) 922-5840

10 Hagen Dr
#310
Rochester, NY 14625

1445 Portland Ave
Ste G-01
Rochester, NY 14621
Phone (585) 922-3890

Interoperability endpoints

  • Direct secure messaging: bkubiak@rochesterplasticsurgery.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1699939942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS STE 310",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252814",
            "telephone_number": "585-922-5840",
            "fax_number": "585-586-7558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146213011",
            "country_code": "US",
            "telephone_number": "585-922-4518",
            "fax_number": "585-922-3950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-16",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "250974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.kubiak@rochesterregional.org",
            "affiliation": "N",
            "address_1": "360 Linden Oaks Ste 310",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146252814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.