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MONTGOMERY FAMILY PRACTICE, INC
NPI 1144390345
Family Medicine in Montgomery, OH

Active since November 08, 2006CLIA 36D0708138 · Microscopy
10550 MONTGOMERY RD STE 11, MONTGOMERY, OH 45242(513) 791-1201(513) 791-1231 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2023, Aug 3, 2022 (2 updates tracked since 2022).

About Montgomery Family Practice, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTGOMERY FAMILY PRACTICE, INC (NPI 1144390345) is a healthcare organization registered as a family medicine in Montgomery, Ohio and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Ginger S Kubala, President Md, as its authorized official.

NPPES Registry Identity

NPI1144390345
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMONTGOMERY FAMILY PRACTICE, INC
Location Address10550 MONTGOMERY RD STE 11Montgomery, OH 45242-4495
Mailing Address10550 Montgomery Rd, # 12Cincinnati, OH 45242 · (513) 791-1201 · Fax (513) 791-1231
Phone(513) 791-1201
Fax(513) 791-1231
Organization SubpartNo
Authorized OfficialGinger S KubalaPresident Md · (513) 791-1201
Enumeration DateNovember 8, 2006
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1144390345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 350728718✔ Licensed in OH · 35057045✔ Licensed in OH · 35067638
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
10550 MONTGOMERY RD STE 11, Montgomery, OH 45242
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Other Identifiers 1

Medicaid2274891OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montgomery Family Practice, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Montgomery Family Practice, Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Anthony Brown, MD
Family Practice
NPI 1417097361
10550 MONTGOMERY RD # 12
Cincinnati, OH 45242
(513) 791-1201
✔ PECOS✔ Accepts MedicareSame address
William Cox, MD
Family Practice
NPI 1902946858
10550 MONTGOMERY RD # 12
Cincinnati, OH 45242
(513) 791-1201
✔ PECOS✔ Accepts MedicareSame address
Ginger Kubala, MD
Family Practice
NPI 1952441891
10550 MONTGOMERY RD # 12
Cincinnati, OH 45242
(513) 791-1201
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0708138

Montgomery Family Practice · Cincinnati, OH
Active · expires Dec 22, 2027
CLIA Number36D0708138
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorGinger S. Kubala MD
Laboratory Phone(513) 791-1201
Laboratory LocationMontgomery Family Practice10550 Montgomery Road Suite 12, Cincinnati, OH 45242
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Montgomery Family Practice, Inc's NPI number?

The NPI number for Montgomery Family Practice, Inc is 1144390345. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Montgomery Family Practice, Inc located?

Montgomery Family Practice, Inc is located at 10550 Montgomery Rd Ste 11, Montgomery, OH 45242. The listed phone number is (513) 791-1201.

What is Montgomery Family Practice, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Montgomery Family Practice, Inc enrolled in Medicare?

Yes. Montgomery Family Practice, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montgomery Family Practice, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Family Practice, reassign their Medicare billing to Montgomery Family Practice, Inc. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Montgomery Family Practice, Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0708138) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montgomery Family Practice, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield and Molina Healthcare list Montgomery Family Practice, Inc 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.

When was this NPI record last updated?

The NPPES record for Montgomery Family Practice, Inc was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.