Individual provider Active NPI

Jonathan Alexander Lubin, MD

  • Radiation Oncology Physician
  • Janesville, WI
National Provider Identifier
1790244754
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
83752-20 Issued in WI
Practice address
3400 E Racine St
Janesville, WI 53546-2344
Phone
(608) 373-8600
Fax
(608) 373-8622
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 83752-20 WI Primary

Addresses

Primary practice location

3400 E Racine St
Janesville, WI 53546-2344

Mailing address

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240605000583 WI Practitioner - Radiation Oncology 9133457138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shared Magnetic Resonance Imaging Facility IncGroup PAC ID 8921906256, 9 clinicians

Practice addresses (Care Compare)

3400 E Racine St
Janesville, WI 53546-2344
Phone (608) 373-8500

Hospital & facility affiliations

  • SSM Health St Mary'S Hospital - Janesville Hospital, Janesville, WI, CCN 520208
  • SSM Health St Mary'S Hospital - Madison Hospital, Madison, WI, CCN 520083
  • Edgerton Hospital and Health Services Hospital, Edgerton, WI, CCN 521319
  • Stoughton Hospital Hospital, Stoughton, WI, CCN 521343

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shared Magnetic Resonance Imaging Facility, Inc CurrentSince May 22, 2024 Accepting new patients

Locations

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

1104 John Nolen Dr
#1
Madison, WI 53713
Phone (608) 251-6868

Interoperability endpoints

  • Direct secure messaging: jlubin514698@direct-ehr-ssmhc.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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1790244754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 E RACINE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462344",
            "telephone_number": "608-373-8600",
            "fax_number": "608-373-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 E RACINE ST",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535462344",
            "telephone_number": "608-373-8600",
            "fax_number": "608-373-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBIN",
        "first_name": "JONATHAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "83752-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.