Individual provider Active NPI

Krzysztof Kubicki, M.D.

  • Internal Medicine Physician
  • Chester, WV
National Provider Identifier
1962499046
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17474 Issued in WV
Practice address
111 1St St
Chester, WV 26034-1001
Phone
(304) 387-2761
Fax
(304) 387-3704
NPI assigned
Oct 4, 2005
Last updated
Dec 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17474 WV Primary
Internal Medicine Physician 207R00000X 35070327 OH

Addresses

Primary practice location

111 1St St
Chester, WV 26034-1001

Mailing address

PO Box 2768
Weirton, WV 26062-1968
Phone (304) 723-6040

Other names 1

  • Christopher Kubicki Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000061 WV Practitioner - Internal Medicine 2961405543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians
Rehab-Bray LLCGroup PAC ID 8527256460, 84 clinicians

Practice addresses (Care Compare)

101 California Ave
Chester, WV 26034-1015
Phone (304) 384-2761

2716 Sunset Blvd
Steubenville, OH 43952-1155
Phone (740) 264-0772

485 Colliers Way
Weirton, WV 26062-5012

601 Colliers Way
Weirton, WV 26062-5014
Phone (304) 797-6000

651 Colliers Way
Weirton, WV 26062-5053
Phone (304) 797-6557

651 Colliers Way
Weirton, WV 26062-5055

701 Colliers Way
Weirton, WV 26062-5016
Phone (304) 914-3081

703 Colliers Way
Weirton, WV 26062-5016
Phone (304) 723-3355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35070327OHMDInternal Medicine Physician
17474WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
WMC Physician Practices LLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Sukhdev S. Grover, MD Associates Past Accepting new patients
Weirton Medical Center, Inc Past Accepting new patients

Locations

200 School St
Wintersville, OH 43953
Phone (740) 283-7499

101 California Ave
Chester, WV 26034
Phone (304) 384-2761

138 Rockdale Rd
Follansbee, WV 26037
Phone (304) 527-1747

1417 Main St
Follansbee, WV 26037
Phone (304) 527-1670

601 Colliers Way
Weirton, WV 26062
Phone (304) 364-5156

651 Colliers Way
Ste 207
Weirton, WV 26062
Phone (304) 797-6433

651 Colliers Way
Ste 410
Weirton, WV 26062
Phone (304) 723-1172

651 Colliers Way
Ste 508
Weirton, WV 26062
Phone (304) 797-6433

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1962499046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2768",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260621968",
            "telephone_number": "304-723-6040",
            "fax_number": "304-723-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 1ST ST",
            "city": "CHESTER",
            "state": "WV",
            "postal_code": "260341001",
            "telephone_number": "304-387-2761",
            "fax_number": "304-387-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICKI",
        "first_name": "KRZYSZTOF",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "17474",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35070327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "KUBICKI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chester, WV

Sources for this page

Verify at the official NPI Registry.