NPIMap

Individual provider Active NPI

Malcolm J Stubbs, MD

  • Orthopaedic Surgery Physician
  • Lafayette, LA
National Provider Identifier
1770514333
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10732R Issued in LA
Practice address
1103 Kaliste Saloom Rd
Suite 102
Lafayette, LA 70508-5783
Phone
(337) 234-5234
Fax
(337) 235-2121
NPI assigned
Jul 5, 2006
Last updated
Mar 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 10732R LA Primary

Addresses

Primary practice location

1103 Kaliste Saloom Rd
Suite 102
Lafayette, LA 70508-5783

Mailing address

1103 Kaliste Saloom Rd
Suite 102
Lafayette, LA 70508-5783
Phone (337) 234-5234

Other identifiers 1

IdentifierTypeStateIssuer
1999733MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000036 LA Practitioner - Orthopedic Surgery 3678652849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Malcolm J Stubbs MD LLCGroup PAC ID 4789756370, 3 clinicians

Practice addresses (Care Compare)

1101 Kaliste Saloom Rd
Lafayette, LA 70508-5705
Phone (337) 769-4100

1103 Kaliste Saloom Rd
Lafayette, LA 70508-5783

1103 Kaliste Saloom Rd
Suite 102
Lafayette, LA 70508-5784
Phone (337) 234-5234

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)20
Upper limb (arm) arthroscopy (minimally invasive joint repair)29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10732RLAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malcolm J Stubbs, MD, LLC Orthopaedic Surgery CurrentSince Dec 17, 2007 Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 102
Lafayette, LA 70508
Phone (337) 234-5234

1103 Kaliste Saloom Rd
Ste 100
Lafayette, LA 70508
Phone (337) 234-5234

Interoperability endpoints

  • Direct secure messaging: mstubbs@lbj.ssdirect.aprima.com

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.

Hospital & facility affiliations 9

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1770514333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-234-5234",
            "fax_number": "337-235-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "address_2": "SUITE 102",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-234-5234",
            "fax_number": "337-235-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "MALCOLM",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "10732R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1999733",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.