Individual provider Active NPI

Kimberly A Kubek, M.D.

  • Diagnostic Radiology Physician
  • Newtown Square, PA
National Provider Identifier
1982645867
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-030251-E Issued in PA
Practice address
3475 W Chester Pike
Suite 240
Newtown Square, PA 19073-4280
Phone
(610) 356-9030
Fax
(610) 356-9036
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-030251-E PA Primary

Addresses

Primary practice location

3475 W Chester Pike
Suite 240
Newtown Square, PA 19073-4280

Mailing address

1222 Meadowbank Rd
Villanova, PA 19085-2106
Phone (610) 356-9030

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
I20101122000541 PA Practitioner - Diagnostic Radiology 0749476406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-030251-EPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Breast Center CurrentSince Jul 16, 1986 Accepting new patients

Locations

3475 West Chester Pike
Ste 240
Newtown Square, PA 19073
Phone (484) 467-0636

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982645867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 MEADOWBANK RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852106",
            "telephone_number": "610-356-9030",
            "fax_number": "610-356-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W CHESTER PIKE",
            "address_2": "SUITE 240",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734280",
            "telephone_number": "610-356-9030",
            "fax_number": "610-356-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBEK",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD-030251-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

Verify at the official NPI Registry.