NPI Details
DR. Douglas Carl Kubek, D.O. is a sleep medicine otolaryngology in Saint Clair Shores, MI with 30 years of experience. The provider is an Otolaryngologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. DR. Douglas Carl Kubek, D.O. NPI is 1003903832. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1995
The provider's business location address is:
21000 E 12 MILE RD
STE 111
SAINT CLAIR SHORES, MI
ZIP 48081-156
Phone: (586) 779-7610
Fax: (586) 779-1391
The NPI 1003903832 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Removal of impacted ear wax (HCPCS:69210)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Test to assess middle ear function (HCPCS:92567)
- Removal of nasal air passage under lining tissue (HCPCS:30140)
- Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Reshaping of nasal cartilage (HCPCS:30520)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 10/5/2006 and was last updated on 3/9/2021.
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 | 207YX0007X | Otolaryngology | Plastic Surgery within the Head & Neck | 5101012806 | MICHIGAN | No |
| 2 | 207YS0012X | Otolaryngology | Sleep Medicine | 5101012806 | MICHIGAN | 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 | 104200 | OTHER | MICHIGAN | GREAT LAKES HMO |
| 2 | 040E061920 | OTHER | | BLUE SHIELD |
| 3 | 14075 | OTHER | MICHIGAN | MCARE |
| 4 | 4535235 | MEDICAID | MICHIGAN | |
| 5 | 133060 | OTHER | MICHIGAN | CARE CHOICES |
| 6 | 0455010215 | OTHER | MICHIGAN | BCBSM |
