Organization Active NPI

L Humberto Covarrubias MD PC

  • Psychiatry Physician
  • Battle Creek, MI
National Provider Identifier
1992880355
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LC039110 Issued in MI
Legal business name
L HUMBERTO COVARRUBIAS MD PC
Practice address
497 E Columbia Ave
Suite 15
Battle Creek, MI 49015
Phone
(269) 965-6406
Fax
(269) 965-6138
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Leopoldo Humberto Covarrubias, MD
Title
Owner
Phone
(269) 965-6406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X LC039110 MI Primary

Addresses

Primary practice location

497 E Columbia Ave
Suite 15
Battle Creek, MI 49015

Mailing address

497 E Columbia Ave
Suite 15
Battle Creek, MI 49015
Phone (269) 965-6406

Other identifiers 6

IdentifierTypeStateIssuer
26003076OtherMEDICARE RR
1732983MedicaidMI
1530062OtherPHP
1530062OtherMEDICAID PHP
2601300171OtherMIBLUE CROSS BLUE SHIELD
2601300171OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Locations

497 Columbia Ave E
Ste 15
Battle Creek, MI 49014
Phone (269) 965-6406

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992880355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "497 E COLUMBIA AVE",
            "address_2": "SUITE 15",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-965-6406",
            "fax_number": "269-965-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 E COLUMBIA AVE",
            "address_2": "SUITE 15",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-965-6406",
            "fax_number": "269-965-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L HUMBERTO COVARRUBIAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "COVARRUBIAS",
        "authorized_official_first_name": "LEOPOLDO",
        "authorized_official_middle_name": "HUMBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-965-6406",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "LC039110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "26003076",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1732983",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "1530062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PHP",
            "identifier": "1530062",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2601300171",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "2601300171",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.