DR. SUSAN KATHLEEN DUBOIS M.D. NPI 1114091675

NPI Information

NPI: 1114091675
Provider Name: DR. SUSAN KATHLEEN DUBOIS, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
2901 MONTOPOLIS DR
AUSTIN, TX
ZIP 78741
Phone: (512) 978-9901
Get Directions

DR. Susan Kathleen Dubois, M.D. is an endocrinology and diabetes and metabolism internal medicine in Austin, TX. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Susan Kathleen Dubois, M.D. NPI is 1114091675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2901 MONTOPOLIS DR
AUSTIN, TX
ZIP 78741-411
Phone: (512) 978-9901
Fax: (512) 901-9765

The NPI 1114091675 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 6/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	H6178	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	147296102	MEDICAID	TEXAS
2	8571J0	MEDICARE PIN	TEXAS
3	8U0684	OTHER		OLD BLUE CROSS #
4	G45143	MEDICARE UPIN	TEXAS
5	8X7501	OTHER		NEW BLUE CROSS #
6	743009528	OTHER		GROUP TAX ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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