NPIMap

Individual provider Active NPI

John E Hubner, M.D.

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1861416190
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18970 Issued in OK
Practice address
2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5646
Phone
(918) 742-5533
Fax
(918) 743-7293
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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 18970 OK Primary

Addresses

Primary practice location

2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5646

Mailing address

2000 S Wheeling Ave Ste 1100
Tulsa, OK 74104-5646
Phone (918) 742-5533

Other identifiers 2

IdentifierTypeStateIssuer
110238214OtherRAILROAD MEDICARE
100120160AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070212000107 OK Practitioner - Internal Medicine 6103715958 Practice locations: Tulsa, OK

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1919 S Wheeling Ave
Suite 108
Tulsa, OK 74104-5637
Phone (918) 742-5533

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.63 of 100Reported as individual
Quality
93.33
Improvement activities
40
Cost
40.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18970OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc Past Accepting new patients
Omni Medical Group Inc Internal Medicine Past Accepting new patients
Michael L.Hubner, M.D., P.C. Internal Medicine PastSince Aug 1, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: john.hubner.1@13720.direct.athenahealth.com

Organizations & group practices 3

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 11

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1861416190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045646",
            "telephone_number": "918-742-5533",
            "fax_number": "918-743-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S WHEELING AVE STE 1100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045646",
            "telephone_number": "918-742-5533",
            "fax_number": "918-743-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBNER",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110238214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120160A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.