Active NPI
Hans E. Hubsch, MD
- Pediatrics Physician
- Miramar, FL
National Provider Identifier
1740295468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME82436
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270644000 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- hans.hubsch@kwpl.eclinicaldirectplus.com
- 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.