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THOMAS CARL GOLUBSKI MD
NPI 1639176118
Internal Medicine - Nephrology in Merrillville, IN

Active since June 30, 2005PECOS Enrolled
90 W 86TH AVE, MERRILLVILLE, IN 46410(219) 791-1555(219) 791-1560 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Nov 13, 2020 (2 updates tracked since 2020).

About Thomas Carl Golubski Md NPPES

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

THOMAS CARL GOLUBSKI MD (NPI 1639176118) is an individual nephrology provider in Merrillville, Indiana, licensed in Indiana (010135170A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639176118
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameTHOMAS CARL GOLUBSKICredential: MD
Location Address90 W 86TH AVEMerrillville, IN 46410-7086
Mailing Address120 W 22nd St Ste 200Oak Brook, IL 60523-1563 · (630) 573-5000
Phone(219) 791-1555
Fax(219) 791-1560
Sole ProprietorNo
Enumeration DateJune 30, 2005
Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
✔ NPI 1639176118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in IN · 010135170A✔ Licensed in IL · 036069902
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
90 W 86TH AVE, Merrillville, IN 46410
Open in Google Maps ↗

Other Identifiers 3

Medicaid100360520BIN
Other000000095602IN · Anthem Provider Number
Medicaid100082060IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Thomas Carl Golubski 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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
293 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
291 services74 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
270 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
160 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services65 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers46 claims3,030 services$0.28 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers26 claims4,260 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
10 suppliers60 claims60 services$17.44 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
6 suppliers33 claims35 services$11.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

KATRINA E WRIGHT MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
CINDY CHAPMAN NURSE PRACTITIONER
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
ALI KHEIRBEK MD
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
KATHLEEN WALLACE APN
Nurse Practitioner
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DR. KEVIN ANDRE MYRIE M.D,
Internal Medicine (Nephrology)
90 W 86TH AVE, NEPHROLOGY ASSOCIATES OF NORTHERN INDIANA
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
YVES FRANTZ BRIGNOL MBA/HA, CMC
Internal Medicine (Nephrology)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
DAVID CURTIS PARRISH
Nurse Practitioner (Family)
90 W 86TH AVE
MERRILLVILLE, IN 46410
Lake County (219) 791-1555
KENNETH LEE CHOI MD
Internal Medicine (Nephrology)
90 W 86TH AVE, NANI, LTD
MERRILLVILLE, IN 46410
Lake County (219) 791-1555

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 Thomas Golubski's NPI number?

The NPI number for Thomas Golubski is 1639176118. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Thomas Golubski located?

Thomas Golubski practices at 90 W 86th Ave, Merrillville, IN 46410. The listed phone number is (219) 791-1555.

What is Thomas Golubski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Thomas Golubski enrolled in Medicare?

Yes. Thomas Golubski is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Golubski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Thomas Golubski 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 Thomas Golubski was last updated on December 12, 2022. 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.