Individual provider Active NPI

Gilfred C Ubina, MD

  • Hospitalist Physician
  • Cresson, PA
National Provider Identifier
1972564839
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD417026 Issued in PA
Practice address
815 2ND St
Cresson, PA 16630-1141
Phone
(814) 886-2911
Fax
(814) 886-8929
NPI assigned
Mar 30, 2006
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD417026 PA
Family Medicine Physician 207Q00000X MD417026 PA
Hospitalist Physician 208M00000X MD417026 PA Primary

Addresses

Primary practice location

815 2ND St
Cresson, PA 16630-1141

Mailing address

255 W Lancaster Ave
FL 1
Paoli, PA 19301-1763
Phone (814) 886-2911

Other practice location 1

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (484) 565-1510

Other identifiers 1

IdentifierTypeStateIssuer
001867124MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20031204000168 PA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Emergency Medicine 0749185643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Emergency Medicine, Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Line HealthcareGroup PAC ID 1951215201, 1,154 clinicians

Practice addresses (Care Compare)

154 Exton Square Mall
Exton, PA 19341-2440
Phone (484) 421-1669

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tri-County Hospitalists, LLC Family Medicine CurrentSince Sep 3, 2014 Accepting new patients
Main Line Healthcare Family Medicine CurrentSince Jun 10, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Main Line Healthcare PastSince Jun 10, 2016 Accepting new patients
Tiadaghton Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

1991 Sproul Rd
Ste 600
Broomall, PA 19008
Phone (484) 421-1669

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

255 W Lancaster Ave
Paoli, PA 19301
Phone (484) 337-4286

255 W Lancaster Ave
Fl 1
Paoli, PA 19301
Phone (484) 565-1510

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (484) 429-2351

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

100 E Lancaster Ave
Wynnewood, PA 19096
Phone (484) 337-3583

100 E Lancaster Ave
#3
Wynnewood, PA 19096
Phone (484) 476-6421

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 5

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1972564839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "FL 1",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "814-886-2911",
            "fax_number": "814-886-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 2ND ST",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301141",
            "telephone_number": "814-886-2911",
            "fax_number": "814-886-8929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011763",
            "country_code": "US",
            "telephone_number": "484-565-1510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UBINA",
        "first_name": "GILFRED",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD417026",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD417026",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD417026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001867124",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresson, PA

Sources for this page

Verify at the official NPI Registry.