NPIMap

Individual provider Active NPI

David Larry Kuban, D.O.

  • Internal Medicine Physician
  • Granbury, TX
National Provider Identifier
1821027319
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F9699 Issued in TX
Practice address
1318 Paluxy Rd
Granbury, TX 76048-5655
Phone
(817) 573-8805
Fax
(817) 279-9515
NPI assigned
Jun 30, 2006
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F9699 TX Primary

Addresses

Primary practice location

1318 Paluxy Rd
Granbury, TX 76048-5655

Mailing address

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Other identifiers 1

IdentifierTypeStateIssuer
102127102MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.larry.kuban.1@1293.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100629000464 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 9032183728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
University of North Texas HSC, College of Osteopathic Med, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

Practice addresses (Care Compare)

1308 E Paluxy Rd
Granbury, TX 76048-5655

1310 B Paluxy Rd
Granbury, TX 76048-5655

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 579-2963

1318 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-8805

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Hood Medical Group CurrentSince Sep 1, 2011 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
City of Ennis Past Accepting new patients

Locations

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1318 Paluxy Rd
Granbury, TX 76048
Phone (800) 650-4990

301 S Park St
Granbury, TX 76048
Phone (817) 573-3726

600 Reunion Ct
Granbury, TX 76048
Phone (817) 573-3773

Interoperability endpoints

  • Direct secure messaging: david.larry.kuban.1@1293.direct.athenahealth.com

Organizations & group practices 4

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 10

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1821027319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-8805",
            "fax_number": "817-279-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBAN",
        "first_name": "DAVID",
        "middle_name": "LARRY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102127102",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.larry.kuban.1@1293.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1318 Paluxy Rd",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760485655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.