KYLE JUSTIN DUBOSE D.O. NPI 1285093104

NPI Information

  • NPI: 1285093104
  • Provider Name: KYLE JUSTIN DUBOSE, D.O.
  • Classification: Preventive Medicine - 2083P0011X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10400 75TH ST
    KENOSHA, WI
    ZIP 53142
  • Phone: (262) 942-5600

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NPI Details

Kyle Justin Dubose, D.O. is an undersea and hyperbaric medicine preventive medicine in Kenosha, WI with 12 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. Kyle Justin Dubose, D.O. NPI is 1285093104. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2013

The provider's business location address is:

10400 75TH ST
KENOSHA, WI
ZIP 53142-884
Phone: (262) 942-5600
Fax: (262) 948-7388

The NPI 1285093104 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.

  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of tissue from wound, each additional 20.0 sq cm (HCPCS:97598)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)

The enumeration date for this NPI number is 2/20/2016 and was last updated on 9/5/2023.

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
12083P0011XPreventive MedicineUndersea and Hyperbaric Medicine67393WISCONSINYes

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
1100068480MEDICAIDWISCONSIN

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: 3/30/2025

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