Active NPI
Barry A Gubin, MD
- Diagnostic Radiology Physician
- Overland Park, KS
National Provider Identifier
1912921347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R1P14
- Practice address
- 4801 West 100TH St
Ste 100
Overland Park, KS 66211 - Phone
- (816) 276-3493
- Fax
- (913) 491-0411
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | R1P14 | MO | Primary |
Addresses
Primary practice location
4801 West 100TH St
Ste 100
Overland Park, KS 66211
Mailing address
4801 W 110TH St
Ste 100
Overland Park, KS 66211-1347
Phone (816) 276-3493
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528169752 | Other | MO | SECOND NPI NUMBER FOR MEDICARE GROUP # I2300A |
| 300089030 | Other | MO | RAILROAD MEDICARE |
| 300085116 | Other | MO | RAILROAD MEDICARE |
| 203090402 | Medicaid | MO | |
| 100127600B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
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": "1291680000000",
"number": "1912921347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 W 110TH ST",
"address_2": "STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662111347",
"telephone_number": "816-276-3493",
"fax_number": "913-491-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 WEST 100TH ST",
"address_2": "STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "66211",
"telephone_number": "816-276-3493",
"fax_number": "913-491-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUBIN",
"first_name": "BARRY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2010-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "R1P14",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECOND NPI NUMBER FOR MEDICARE GROUP # I2300A",
"identifier": "1528169752",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300089030",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300085116",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203090402",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100127600B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.