Individual provider Active NPI

Hans E. Hubsch, MD

  • Pediatrics Physician
  • Miramar, FL
National Provider Identifier
1740295468
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME82436 Issued in FL
Practice address
11904 Miramar Pkwy
Miramar, FL 33025-7005
Phone
(954) 704-1051
Fax
(954) 437-0526
NPI assigned
Jul 30, 2006
Last updated
Jun 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME82436 FL Primary

Addresses

Primary practice location

11904 Miramar Pkwy
Miramar, FL 33025-7005

Mailing address

11904 Miramar Pkwy
Miramar, FL 33025-7005
Phone (954) 704-1051

Other identifiers 1

IdentifierTypeStateIssuer
270644000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hans.hubsch@kwpl.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hans.hubsch@kwpl.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JHAGBD/Endpoint/JHAGBD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1740295468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11904 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257005",
            "telephone_number": "954-704-1051",
            "fax_number": "954-437-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330257005",
            "telephone_number": "954-704-1051",
            "fax_number": "954-437-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBSCH",
        "first_name": "HANS",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME82436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "270644000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hans.hubsch@kwpl.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "DSM address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "11904 Miramar Pkwy",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330257005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.