Individual provider Active NPI

Stanley R. Hubert, M.D.

  • Emergency Medicine Physician
  • New Albany, IN
National Provider Identifier
1720177504
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01057450A Issued in IN
Practice address
700 E Spring St
Suite 200
New Albany, IN 47150-2926
Phone
(945) 945-7536
Fax
(812) 945-7542
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01057450A IN Primary

Addresses

Primary practice location

700 E Spring St
Suite 200
New Albany, IN 47150-2926

Mailing address

700 E Spring St
Suite 200
New Albany, IN 47150-2926
Phone (945) 945-7536

Other identifiers 3

IdentifierTypeStateIssuer
61-1091357OtherINTAX ID
100115990AMedicaidIN
200456770MedicaidIN

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
I20100702000364 IN Practitioner - Emergency Medicine 4082510649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Emergency Medicine Associates PC Emergency Medicine CurrentSince Sep 15, 2003 Accepting new patients
Kentuckiana Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients
Kentuckiana Emergency Physicians Past Accepting new patients

Locations

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

700 E Spring St
Ste 200
New Albany, IN 47150
Phone (812) 945-7536

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1720177504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST",
            "address_2": "SUITE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502926",
            "telephone_number": "945-945-7536",
            "fax_number": "812-945-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E SPRING ST",
            "address_2": "SUITE 200",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502926",
            "telephone_number": "945-945-7536",
            "fax_number": "812-945-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "STANLEY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01057450A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "61-1091357",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115990A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200456770",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.