Jonathan Jay Lubitz, DPM
Individual provider Active NPI Podiatrist · Port Saint John, FL
NPI 1962406348 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1962406348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- PO1452 (FL)
- Practice address
- 5005 Port St John Pkwy
Suite 2100
Port Saint John, FL 32927-4305 - Phone
- (321) 433-2247
- Fax
- (321) 635-9310
- NPI assigned
- Jun 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Brevard Medical Support Inc
Practice addresses (Care Compare)
5005 Port St John Pkwy
Suite 2100
Port St John, FL 32927-4305
Phone (321) 268-6834
Hospital & facility affiliations
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- Quality
- 75.26
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.14
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 176 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100617000353 | FL | Practitioner - Podiatry | 8123158151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Brevard Medical Support, Inc | Current |
Accepting new patients | |
| North Brevard Medical Support, Inc | Current |
Accepting new patients |
Locations
5005 Port St John Pkwy
Port St John, FL 32927
Phone (321) 504-0556
5005 Port St John Pkwy
Ste 2100
Port St John, FL 32927
Phone (321) 268-6834
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
805 Century Medical Dr
Ste C
Titusville, FL 32796
Phone (321) 268-6264
Interoperability endpoints
- jonathan.lubitz.1@17832.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO1452 | FL | Yes |
Addresses
Primary practice location
5005 Port St John Pkwy
Suite 2100
Port Saint John, FL 32927-4305
Mailing address
805 Century Medical Dr
Suite C
Titusville, FL 32796-2100
Phone (321) 268-6264
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004278200 | Medicaid | FL |
Other providers in Port Saint John, FL
- Haleigh Lillian Andreasen
- Susan Guattery Coleman
- Eduardo Hernandez
- Andrea Johnson
- Dylan Patel
- Daniel Joseph Ross
- Huy Tran
- Carolyn Elizabeth Tremblay
All providers in Port Saint John, FL · Podiatrist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.