Harry Willi Kuberg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23483 Issued in AL

Practice address

15225 Highway 43 Ste F
Russellville, AL 35653-1969

Phone

(256) 331-9408

Fax

(256) 331-9530

NPI assigned

Jan 23, 2007

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Family Practice

Education

University of Alabama School of Medicine, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
• Russellville Hospital Hospital, Russellville, AL, CCN 010158
• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Urgent Care of Russellville, LLC

  • Urgent Care Clinic/Center
  • Russellville, AL
  • NPI 1821325606
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Shoals LLC

  dba Helen Keller Hospital

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation
• Mid-South Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation
• Russellville Hospital Inc.

  dba Russellville Hospital

  • Rural Acute Care Hospital
  • Russellville, AL
  • NPI 1316015241
  Care Compare affiliation

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1760537633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1224",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531224",
            "telephone_number": "256-331-9408",
            "fax_number": "256-331-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HIGHWAY 43 STE F",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531969",
            "telephone_number": "256-331-9408",
            "fax_number": "256-331-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBERG",
        "first_name": "HARRY",
        "middle_name": "WILLI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "23483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "510-98259",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009935340",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Gerard Kelly
• Kevin G. Kelly, M.D.
• Kevin Gerard Kelly (Kevin G. Kelly, MD)
• Jody Kiel, PHARMD
• Haley Shaleigh Knight
• Laboratory Corporation of America Holding
• Lakeshore Pediatrics of Russellville
• Lakeshore Pediatrics of Russellville, PC (dba Lakeshore Pediatric Rural Health Clinic)
• Mary Kathleen Laky, PHARM.D
• Jeremy Heath Lane, PHARMD

• Family Medicine Physician in Russellville, AL
• Providers in Russellville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.