Active NPI
Ilona Dubuske, D.O.
- Allergy & Immunology Physician
- Arlington, VA
National Provider Identifier
1952783151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 0102205890
- Practice address
- 3801 Fairfax Dr
Arlington, VA 22203-1762 - Phone
- (571) 229-5081
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 274443 | MA | |
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 274443 | MA | |
| Allergy & Immunology Physician | 207K00000X | 0102205890 | VA | Primary |
Addresses
Primary practice location
3801 Fairfax Dr
Arlington, VA 22203-1762
Mailing address
156 Prospect Hill Rd
Harvard, MA 01451-1302
Phone (617) 965-0000
Other practice location 1
50 Union St
Newton, MA 02459-2223
Phone (617) 965-0000
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274443 | MA | MD | Allergy & Immunology Physician |
| 0102205890 | VA | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1952783151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 PROSPECT HILL RD",
"city": "HARVARD",
"state": "MA",
"postal_code": "014511302",
"telephone_number": "617-965-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 FAIRFAX DR",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031762",
"telephone_number": "571-229-5081"
}
],
"practiceLocations": [
{
"address_1": "50 Union St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024592223",
"country_code": "US",
"telephone_number": "617-965-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUBUSKE",
"first_name": "ILONA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-24",
"last_updated": "2020-09-30",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "274443",
"primary": false
},
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "MA",
"license": "274443",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "VA",
"license": "0102205890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.