DR. DOUGLAS CARL KUBEK D.O.
NPI 1003903832
Otolaryngology - Sleep Medicine in Saint Clair Shores, MI
About Dr. Douglas Carl Kubek D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS CARL KUBEK D.O. (NPI 1003903832) is an individual sleep medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (5101012806) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1995).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Douglas Carl Kubek D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Douglas Kubek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 520 clinicians in this Medicare group
Saint Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- 101 clinicians in this Medicare group
Sterling Heights, MI 48314
- Reassigned Medicare billing, Michigan enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Henry Ford Macomb Hospital
Acute Care Hospitals · Clinton Township, MIBeaumont Hospital - Grosse Pointe
Acute Care Hospitals · Grosse Pointe, MIAscension St John Hospital
Acute Care Hospitals · Detroit, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMclaren Macomb
Acute Care Hospitals · Mount Clemens, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 13
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
SAINT CLAIR SHORES, MI 48081
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Douglas Kubek's NPI number?
The NPI number for Douglas Kubek is 1003903832. It was assigned to this individual provider in the NPPES registry on October 5, 2006.
Where is Douglas Kubek located?
Douglas Kubek practices at 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081. The listed phone number is (586) 779-7610.
What is Douglas Kubek's specialty?
The primary specialty registered for this NPI is Otolaryngology, specializing in Sleep Medicine, with taxonomy code 207YS0012X.
Is Douglas Kubek enrolled in Medicare?
Yes. Douglas Kubek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Douglas Kubek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kubek reassigns Medicare benefits to 3 organizations: Henry Ford Health St. John Hospital (Saint Clair Shores, MI), Henry Ford Semi Medical Group (Saint Clair Shores, MI) and Lakeshore Ear Nose And Throat Center PC (Sterling Heights, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Kubek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Kubek accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Douglas Kubek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Douglas Kubek affiliated with any hospitals?
According to CMS data, Douglas Kubek is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Mclaren Macomb.
When was this NPI record last updated?
The NPPES record for Douglas Kubek was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Douglas Carl Kubek, D.O. · NPI 1003903832
Sleep Medicine physician in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1003903832 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Otolaryngology - Sleep Medicine · taxonomy 207YS0012X
- **State license:** 5101012806 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 21000 E 12 MILE RD, STE 111, Saint Clair Shores, MI 48081-1156
- **Phone:** (586) 779-7610 · **Fax:** (586) 779-1391
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1376820605, Saint Clair Shores, MI); Henry Ford Semi Medical Group (NPI 1366515496, Saint Clair Shores, MI); Lakeshore Ear Nose And Throat Center PC (NPI 1285803346, Sterling Heights, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 1995
## Record status
- **NPPES last updated:** March 9, 2021
- **Other identifiers:** Other 104200 (MI); Other 040E061920; Other 14075 (MI); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1003903832) · Data from the CMS NPPES public registry.