Individual provider Active NPI

Jennifer M Porubsky, D.O.

  • Emergency Medicine Physician
  • Trenton, MI
National Provider Identifier
1730527748
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101020650 Issued in MI
Practice address
5450 Fort St
Trenton, MI 48183-4601
Phone
(734) 671-3297
Fax
(734) 362-6715
NPI assigned
Jun 12, 2013
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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 5101020650 MI Primary

Addresses

Primary practice location

5450 Fort St
Trenton, MI 48183-4601

Mailing address

5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3297

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170522001886 TX Practitioner - Emergency Medicine 8628388550 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laredo Emergency Medicine Associates PAGroup PAC ID 5395741896, 45 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo, TX 78041-5401
Phone (956) 796-5000

209 NW 8TH St
Memorial Hospital
Seminole, TX 79360-3447
Phone (915) 758-5811

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Emergency Medicine Associates PA Emergency Medicine CurrentSince Jan 10, 2026 Accepting new patients
Seminole Hospital District of Gaines County Texas CurrentSince Jan 13, 2024 Accepting new patients
Bluff Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jan 7, 2026 Accepting new patients
Midland Emergency Managers PLLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
Seminole Hospital District of Gaines County Texas Emergency Medicine CurrentSince Jan 13, 2024 Accepting new patients
Basin Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 1, 2019 Accepting new patients
Kalamazoo Acute Care Specialists PLC Past Accepting new patients

Locations

11380 Gateway Blvd N
Ste 105
El Paso, TX 79934
Phone (915) 577-8100

3280 Joe Battle Blvd
El Paso, TX 79938
Phone (915) 577-6000

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

9811 McPherson Rd
Laredo, TX 78045
Phone (956) 796-3900

400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

1004 Hobbs Hwy
Ste 4
Seminole, TX 79360
Phone (432) 758-4777

209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1730527748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601",
            "telephone_number": "734-671-3297",
            "fax_number": "734-362-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481834601",
            "telephone_number": "734-671-3297",
            "fax_number": "734-362-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORUBSKY",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101020650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

Verify at the official NPI Registry.