Individual provider Active NPI

Ronald S Dubin, MD

  • Orthopaedic Surgery Physician
  • Middlesboro, KY
National Provider Identifier
1760478523
Registry record updated Mar 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25458 Issued in KY
Practice address
705 N 12TH Street
Ste 100
Middlesboro, KY 40965-1835
Phone
(606) 248-0050
Fax
(606) 248-8711
NPI assigned
Sep 26, 2005
Last updated
Mar 18, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25458 KY Primary

Addresses

Primary practice location

705 N 12TH Street
Ste 100
Middlesboro, KY 40965-1835

Mailing address

PO Box 2897
705 N 12TH Street Ste 100
Middlesboro, KY 40965-1835
Phone (606) 248-0050

Other identifiers 1

IdentifierTypeStateIssuer
64254584MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20070625000412 KY Practitioner - Orthopedic Surgery 7012013246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

109 N 3Rd St
Williamsburg, KY 40769-1123
Phone (606) 825-0009

705 N 12TH St
Suite 100
Middlesboro, KY 40965-2067
Phone (606) 248-0050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dubin Orthopedic Centre PSC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rdubin@442.securemail.mdnavigatorclinical.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1760478523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2897",
            "address_2": "705 N 12TH STREET STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651835",
            "telephone_number": "606-248-0050",
            "fax_number": "606-248-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N 12TH STREET",
            "address_2": "STE 100",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651835",
            "telephone_number": "606-248-0050",
            "fax_number": "606-248-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBIN",
        "first_name": "RONALD",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "25458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64254584",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlesboro, KY

Sources for this page

Verify at the official NPI Registry.