MARC KOSTRUBIAK
NPI 1649852401
Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Marc Kostrubiak's NPI number?

The NPI number for Marc Kostrubiak is 1649852401. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Q: What is Marc Kostrubiak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Kostrubiak was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 22, 2021PECOS Enrolled

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Mar 23, 2025, Apr 22, 2021 (3 updates tracked since 2021).

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About Marc Kostrubiak NPPES

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

MARC KOSTRUBIAK (NPI 1649852401) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1649852401

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMARC KOSTRUBIAK

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing AddressUvm Medical Center, 111 Colchester AvenueBurlington, VT 05401-7352 · (443) 465-6396

Phone(617) 636-5000

Sole ProprietorNo

Enumeration DateApril 22, 2021

Last NPPES UpdateJune 19, 20253 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1649852401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 WASHINGTON ST, Boston, MA 02111

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Secondary Practice Location 1

Location 1UVM Medical Center, 111 Colchester AvenueBurlington, VT 05401 · Phone (802) 847-2345

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marc Kostrubiak 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.

Other Providers at the Same Location NPPES 20

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

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery