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MICHAEL BUBLIK MD PC
NPI 1467749903
Otolaryngology - Facial Plastic Surgery in Glendale, CA

Active since July 06, 2011
800 S CENTRAL AVE STE 101B, GLENDALE, CA 91204(818) 649-1433(818) 649-1436 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 2, 2025, Feb 26, 2020 (2 updates tracked since 2020).

About Michael Bublik Md Pc NPPES

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

MICHAEL BUBLIK MD PC (NPI 1467749903) is a healthcare organization registered as a facial plastic surgery in Glendale, California and active in the NPI registry since July 2011. The organization lists Michael Bublik, President, as its authorized official.

NPPES Registry Identity

NPI1467749903
Entity TypeOrganization
Primary Taxonomy207YS0123X
Legal Business NameMICHAEL BUBLIK MD PC
Location Address800 S CENTRAL AVE STE 101BGlendale, CA 91204-4375
Mailing Address800 S Central Ave Ste 101bGlendale, CA 91204-4375 · (818) 649-1433 · Fax (818) 649-1436
Phone(818) 649-1433
Fax(818) 649-1436
Organization SubpartNo
Authorized OfficialMichael BublikPresident · (310) 488-3725
Enumeration DateJuly 6, 2011
Last NPPES UpdateApril 2, 20252 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1467749903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · A112615
Definition
An otolaryngologist who specializes in facial plastic surgery.
800 S CENTRAL AVE STE 101B, Glendale, CA 91204
Open in Google Maps ↗

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Bublik Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20111005000463Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Michael Bublik MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Michael Bublik, M.D.
Otolaryngology
NPI 1679784664
800 S CENTRAL AVE STE 101B
Glendale, CA 91204
(818) 649-1433
✔ PECOS✔ Accepts MedicareSame address
Tsung-Yen Hsieh, MD
Otolaryngology
NPI 1548505100
4650 W SUNSET BLVD
Los Angeles, CA 90027
(323) 660-2450
✔ PECOS✔ Accepts Medicare3.3 mi

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

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 Michael Bublik MD PC's NPI number?

The NPI number for Michael Bublik MD PC is 1467749903. It was assigned to this organization in the NPPES registry on July 6, 2011.

Where is Michael Bublik MD PC located?

Michael Bublik MD PC is located at 800 S Central Ave Ste 101B, Glendale, CA 91204. The listed phone number is (818) 649-1433.

What is Michael Bublik MD PC's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Michael Bublik MD PC enrolled in Medicare?

Yes. Michael Bublik MD PC is registered in the Medicare PECOS enrollment system.

When is Michael Bublik MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Michael Bublik MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Otolaryngology, reassign their Medicare billing to Michael Bublik MD PC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Michael Bublik MD PC was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.