Active NPI
Michael N. Dube, MD
- Internal Medicine Physician
- Johnson City, TN
National Provider Identifier
1932185121
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 19, 2021.
- Section 1128a(3) exclusion effective Jul 19, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 27864
- Practice address
- 501 E Watauga Ave
Johnson City, TN 37601-4038 - Phone
- (423) 722-8446
- Fax
- (423) 722-5674
- NPI assigned
- Dec 19, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 27864 | TN | Primary |
Addresses
Primary practice location
501 E Watauga Ave
Johnson City, TN 37601-4038
Mailing address
501 E Watauga Ave
Johnson City, TN 37601-4038
Phone (423) 722-8446
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 27864 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCC, Inc. | Past | Accepting new patients | |
| Johnson City Emergency Physicians, PC | Past | Accepting new patients | |
| Emergency Care Physicians, Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1669410304
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1376557348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932185121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014038",
"telephone_number": "423-722-8446",
"fax_number": "423-722-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E WATAUGA AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376014038",
"telephone_number": "423-722-8446",
"fax_number": "423-722-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBE",
"first_name": "MICHAEL",
"middle_name": "N.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD 27864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.