INGO H STUBBE MD NPI 1164476503

Internal Medicine in Somerville, MA

NPI 1164476503 Individual Male Years of Experience 50 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About INGO STUBBE

Ingo Stubbe is an internal medicine provider established in Somerville, Massachusetts and his medical specialization is internal medicine with more than 50 years of experience. The NPI number of Ingo Stubbe is 1164476503 and was assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X with license number 79710 (MA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

An internist like Ingo H Stubbe Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Ingo Stubbe is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ingo Stubbe is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Holy Family Hospital.

NPI

1164476503

Provider Name INGO H STUBBE MD
Provider Location Address230 HIGHLAND AVE SOMERVILLE, MA 02143
Provider Mailing Address45 HUNNEWELL ST WELLESLEY, MA 02481
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1971
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date05-20-2006
Last Update Date07-08-2007


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.79710
License StateMA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

INGO H STUBBE MD
230 HIGHLAND AVE
SOMERVILLE, MA
ZIP 02143
Phone: (617) 591-4920

Get Directions


Mailing Address

INGO H STUBBE MD
45 HUNNEWELL ST
WELLESLEY, MA
ZIP 02481
Phone: (781) 237-5077



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2466495981
PECOS Enrollment IDI20050606001101
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ingo Stubbe is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HOLY FAMILY HOSPITAL70 EAST STREET
METHUEN, MA 1844
(978) 687-0156Acute Care Hospitals220080

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
J14920MEDICARE ID-TYPE UNSPECIFIED (04)MA
F94892MEDICARE UPIN (02)MA
3134105MEDICAID (05)MA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760481501DR. MICHAEL CLARENCE PAYNE M.D., M.P.H.
Individual
Internal Medicine (Gastroenterology)230 HIGHLAND AVE SOMERVILLE HOSPITAL / THE CAMBRIDGE HEALTH ALLIANCE
SOMERVILLE, MA 02143
(617) 665-1000
1659352748DR. LJILJANA GRKOVICH MD
Individual
Anesthesiology230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 666-4400
1336111020DR. LOU ANN BRUNO-MURTHA D.O.
Individual
Internal Medicine (Infectious Disease)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4780
1760430755DR. MICHAEL HERCULES THEODOULOU D.P.M.
Individual
Podiatrist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 665-1000
1417021437 MANISH TANDON MD
Individual
Internal Medicine (Gastroenterology)230 HIGHLAND AVE MEDICAL SPECIALTIES
SOMERVILLE, MA 02143
(617) 665-1552
1154498889 RALPH H UPCHURCH MD
Individual
Emergency Medicine230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4707
1225181910 SARAH BANSEN APRN
Individual
Nurse Practitioner (Obstetrics & Gynecology)230 HIGHLAND AVE WOMEN'S HEALTH CENTER
SOMERVILLE, MA 02143
(617) 591-4800
1538212089 KAREN LEFKOWITZ APRN
Individual
Nurse Practitioner230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-6300
1538212071 EVELYN NEIMAN APRN
Individual
Nurse Practitioner230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4800
1366651465 BARBARA J KOPPEL LICSW
Individual
Social Worker (Clinical)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 491-4786
1174732119 EMILY J SPEAGLE LICSW
Individual
Social Worker (Clinical)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4484
1376753848DR. XIA THAI PHARM.D.
Individual
Pharmacist (Pharmacotherapy)230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4192
1306040290MRS. AUNKSIKA ANN SLAYTON OTR.L
Individual
Occupational Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1861696866MS. AMYBETH LYNCH PT
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4266
1811191711MRS. SELENA CHANA KUTIN P.T
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4240
1922202852MR. REID FUJIMORI DPT, MSPT
Individual
Physical Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1790980282MISS JENNIFER ANN PURDY COTAL
Individual
Occupational Therapy Assistant230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4276
1588869481MRS. NICOLE PATRICIA STEWART MS, OTR L
Individual
Occupational Therapist230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4500
1265638209 MARLA DRISCOLL RN
Individual
Registered Nurse230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4350
1487850392 ELAINE CATALOGNA RN
Individual
Registered Nurse230 HIGHLAND AVE
SOMERVILLE, MA 02143
(617) 591-4350

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.