Meghan M Kubala, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MT212787 Issued in PA

Practice address

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202

Phone

(484) 862-3256

NPI assigned

Jun 6, 2017

Last updated

Jun 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

General Practice

Education

University of South Florida College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkubala91636@direct.phhs.org

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.

• Crescent Wound Care Inc

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1841920501
  Medicare reassignment Care Compare group NPD
• Robert Marriott Medical Corp

  dba Advantage Wound Care

  • Surgery Physician
  • El Segundo, CA
  • NPI 1083883938
  Medicare reassignment NPD
• Integrity Wound Physicians Inc

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1285409540
  Medicare reassignment
• Crescent Wound Care Inc

  • Family Medicine Physician
  • The Dalles, OR
  • NPI 1942177548
  NPD

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1770012684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051806",
            "telephone_number": "484-862-3256",
            "fax_number": "484-862-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "484-862-3256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALA",
        "first_name": "MEGHAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT212787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Kruklitis, MD
• John William Krupa, R.PH.
• Philip Krupka, DO
• Abigail Marie Krutsick, DPM
• Jill M. Krystofinski, CRNA
• Candace Kubek, CRNP
• Kimberly S Kuchinski, MD
• Lisa J. Kucsan, M.S. CCC-A
• Lindsey Kudenchak, MD
• Victoria Kuebler

• Surgery Physician in Allentown, PA
• Providers in Allentown, PA by specialty
• Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; 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.