NPIMap

Individual provider Active NPI

Ginger S Kubala, MD

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1952441891
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35057045 Issued in OH
Practice address
10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4494
Phone
(513) 791-1201
Fax
(513) 791-1231
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35057045 OH Primary

Addresses

Primary practice location

10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4494

Mailing address

10550 Montgomery Rd
# 12
Cincinnati, OH 45242-4494
Phone (513) 791-1201

Other identifiers 1

IdentifierTypeStateIssuer
0829616MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20071130000547 OH Practitioner - Family Practice 3375632151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Family Practice IncGroup PAC ID 6709974165, 3 clinicians

Practice addresses (Care Compare)

10550 Montgomery Rd
Suite 12
Montgomery, OH 45242-4494
Phone 5137911201102

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Family Practice, Inc Family Medicine CurrentSince Nov 6, 2007 Accepting new patients

Locations

10550 Montgomery Rd
Ste 12
Montgomery, OH 45242
Phone (513) 791-1201

Interoperability endpoints

  • Direct secure messaging: gingerkubala@mgfp.allscriptsdirect.net

Organizations & group practices 1

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 8

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1952441891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD",
            "address_2": "# 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424494",
            "telephone_number": "513-791-1201",
            "fax_number": "513-791-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 MONTGOMERY RD",
            "address_2": "# 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424494",
            "telephone_number": "513-791-1201",
            "fax_number": "513-791-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALA",
        "first_name": "GINGER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35057045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0829616",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.