Individual provider Active NPI

Sebastian O Hubbuch, M.D.

  • Interventional Cardiology Physician
  • Columbus, GA
National Provider Identifier
1811994403
Registry record updated Dec 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
023990 Issued in GA
Practice address
2300 Manchester Expy
Ste 1003
Columbus, GA 31904-6877
Phone
(706) 565-7382
Fax
(706) 565-9110
NPI assigned
Jun 28, 2005
Reactivated
Mar 24, 2006
Last updated
Dec 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 23990 GA
Interventional Cardiology Physician 207RI0011X 023990 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste 1003
Columbus, GA 31904-6877

Mailing address

PO Box 9265
Columbus, GA 31908-9265
Phone (706) 565-7382

Other identifiers 2

IdentifierTypeStateIssuer
142202MedicaidAL
000390684JMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20061205000276 GA Practitioner - Cardiovascular Disease (Cardiology) 5698750180 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Louisville School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23990GAMDCardiovascular Disease Physician
023990GAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Piedmont Cardiology of Atlanta, LLC Cardiovascular Disease CurrentSince Jan 31, 2022 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Jan 1, 2007 Accepting new patients
Sebastian O. Hubbuch M.D. Cardiovascular Disease CurrentSince Dec 28, 1998 Accepting new patients
Chhokar Clinic CurrentSince Jan 6, 2020 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince Jan 1, 2007 Accepting new patients
St. Francis Physician Practices LLC Current Accepting new patients
St. Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
Internal Medicine Education & Research Foundation of Columbus, Inc Past Accepting new patients
Internal Medicine Education and Research Foundation Past Accepting new patients
Hughston Clinic, P.C. Past Accepting new patients

Locations

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

2300 Manchester Expy
Ste 1003
Columbus, GA 31904
Phone (706) 323-5552

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

1906 Warm Springs Rd
Columbus, GA 31904
Phone (706) 322-0528

2300 Manchester Expy
Ste 1001
Columbus, GA 31904
Phone (706) 322-0528

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

3808 Gentian Blvd
Columbus, GA 31907
Phone (706) 329-0300

1412 Milstead Ave NE
Ste 100
Conyers, GA 30012
Phone (770) 483-9330

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

3435 Highway 81
Ste 200
Loganville, GA 30052

2151 W Spring St
Ste B220
Monroe, GA 30655
Phone (770) 267-1895

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

Interoperability endpoints

  • Direct secure messaging: sebastian.hubbuch@gadirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sebastian.hubbuch@sfhga.gadirect.net

Organizations & group practices 12

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 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1811994403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9265",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319089265",
            "telephone_number": "706-565-7382",
            "fax_number": "706-565-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE 1003",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046877",
            "telephone_number": "706-565-7382",
            "fax_number": "706-565-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBUCH",
        "first_name": "SEBASTIAN",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "23990",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "GA",
            "license": "023990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142202",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000390684J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.