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ANDREW G. DUBINA MD
NPI 1154783066
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Salt Lake City, UT

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
590 S WAKARA WAY, SALT LAKE CITY, UT 84108(801) 536-3600 Get Directions Write a Review

NPPES record last updated: July 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2023, Dec 3, 2021, May 29, 2021 and 2 more (5 updates tracked since 2016).

About Andrew G. Dubina Md NPPES

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

ANDREW G. DUBINA MD (NPI 1154783066) is an individual pediatric orthopaedic surgery provider in Salt Lake City, Utah, licensed in Utah (12218054-1205) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of University Of Maryland School Of Medicine (2015).

NPPES Registry Identity

NPI1154783066
Entity TypeIndividualMale
Primary Taxonomy207XP3100X
Provider Legal NameANDREW G. DUBINACredential: MD
Location Address590 S WAKARA WAYSalt Lake City, UT 84108-1200
Mailing Address590 S Wakara WaySalt Lake City, UT 84108-1200 · (801) 536-3600
Phone(801) 536-3600
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2015
Enumeration DateMarch 22, 2016
Last NPPES UpdateJuly 22, 20235 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
✔ NPI 1154783066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in UT · 12218054-1205
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 12218054-1205 (UT)
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 317527 (NY)
590 S WAKARA WAY, Salt Lake City, UT 84108
Open in Google Maps ↗

Secondary Practice Location 1

Location 1110 S Paca StBaltimore, MD 21201-1642 · Phone (410) 328-6040

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

Andrew G. Dubina Md 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.

PECOS PAC ID7416242458
PECOS Enrollment IDI20220825001693
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Dubina reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Orthopaedic Associates Of Rochester
1,758 mi
Specialist
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 113 clinicians in this Medicare group
NPI 1346251758 (585) 275-5169

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

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.

KAYLA L. GATES MD
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448
THOMAS HONG MD
Student in an Organized Health Care Education/Training Program
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
ANDREW KOSTURIK
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
LUIS B. FANDINO MD
Orthopaedic Surgery
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-5448
NAOMI RUTH LAIRD PA-C
Physician Assistant
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DENNIS N. JACKSON MD
Emergency Medicine
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 581-2121
TREVOR WILTZ DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109
DR. JOSHUA KURT JOHNSON DPT
Physical Therapist
590 S WAKARA WAY
SALT LAKE CITY, UT 84108
Salt Lake County (801) 587-7109

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 Andrew Dubina's NPI number?

The NPI number for Andrew Dubina is 1154783066. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Andrew Dubina located?

Andrew Dubina practices at 590 S Wakara Way, Salt Lake City, UT 84108. The listed phone number is (801) 536-3600.

What is Andrew Dubina's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Andrew Dubina enrolled in Medicare?

Yes. Andrew Dubina 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 organization bills Medicare for Andrew Dubina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Dubina reassigns Medicare benefits to University Orthopaedic Associates Of Rochester (Rochester, NY). The 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 Andrew Dubina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrew Dubina was last updated on July 22, 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.