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DR. MARK J KUBALA MD
NPI 1497755391
Specialist in Beaumont, TX

Active since July 21, 2005PECOS Enrolled
93.21/100
CMS Quality Rating
5235 MERLOT DR, BEAUMONT, TX 77706(409) 781-8426 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark J Kubala Md NPPES

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

DR. MARK J KUBALA MD (NPI 1497755391) is an individual specialist in Beaumont, Texas, licensed in Texas (C0720) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1497755391
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK J KUBALACredential: MD
Location Address5235 MERLOT DRBeaumont, TX 77706-2577
Mailing Address5235 Merlot DrBeaumont, TX 77706-2577 · (409) 781-8426
Phone(409) 781-8426
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
✔ NPI 1497755391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · C0720
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedNeurological SurgeryTaxonomy 207T00000X · License C0720 (TX)
5235 MERLOT DR, Beaumont, TX 77706
Open in Google Maps ↗

Secondary Practice Location 1

Location 12965 Harrison St Ste 111Beaumont, TX 77702-1148 · Phone (409) 898-7800

Other Identifiers 8

Other140007873TX · Railroad Medicare
Medicaid125802205TX
Other4364874TX · Aetna
Other2824444001TX · Cigna
Other8F3760TX · Bcbs
Medicaid148913001TX
Other0020HDTX · Group Bcbs
OtherA003TX · Tricare Champus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark J Kubala Md 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.43
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK J KUBALA MD PA
Specialist
5235 MERLOT DR
BEAUMONT, TX 77706
Jefferson County (409) 781-8426

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 Mark Kubala's NPI number?

The NPI number for Mark Kubala is 1497755391. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Mark Kubala located?

Mark Kubala practices at 5235 Merlot Dr, Beaumont, TX 77706. The listed phone number is (409) 781-8426.

What is Mark Kubala's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Kubala enrolled in Medicare?

Yes. Mark Kubala is registered in the Medicare PECOS enrollment system.

What insurance does Mark Kubala accept?

Health plans from CHRISTUS Health Plan list Mark Kubala 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 Mark Kubala was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.