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GENE MICHAEL KUBACKI DO
NPI 1275680258
Family Medicine in Chicago, IL

Active since January 04, 2007PECOS Enrolled
1029 EAST 130TH STREET, CHICAGO, IL 60628(773) 995-6300(601) 376-2114 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gene Michael Kubacki Do NPPES

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

GENE MICHAEL KUBACKI DO (NPI 1275680258) is an individual family medicine provider in Chicago, Illinois, licensed in Illinois (036098945) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275680258
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGENE MICHAEL KUBACKICredential: DO
Location Address1029 EAST 130TH STREETChicago, IL 60628
Mailing Address2932 W Ludwig RdFort Wayne, IN 46818-1328 · (260) 755-1304 · Fax (260) 755-1306
Phone(773) 995-6300
Fax(601) 376-2114
Sole ProprietorYes
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 16, 2019
✔ NPI 1275680258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IL · 036098945✔ Licensed in MS · 16884
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.
1029 EAST 130TH STREET, Chicago, IL 60628
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Other Identifiers 2

Medicaid04009076MS
Medicaid036098945IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gene Michael Kubacki Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60628 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Gene Kubacki's NPI number?

The NPI number for Gene Kubacki is 1275680258. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Gene Kubacki located?

Gene Kubacki practices at 1029 East 130th Street, Chicago, IL 60628. The listed phone number is (773) 995-6300.

What is Gene Kubacki's specialty?

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

Is Gene Kubacki enrolled in Medicare?

Yes. Gene Kubacki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gene Kubacki was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.