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DR. MICHAEL JAMES GIBSON JUBY DO
NPI 1679193056
General Practice in Columbus, OH

Active since April 25, 2020PECOS Enrolled
376 W 10TH AVE, COLUMBUS, OH 43210(614) 366-5130 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Jun 21, 2023, May 8, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Michael James Gibson Juby Do NPPES

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

DR. MICHAEL JAMES GIBSON JUBY DO (NPI 1679193056) is an individual general practice provider in Columbus, Ohio, licensed in Virginia (0102206811) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679193056
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MICHAEL JAMES GIBSON JUBYCredential: DO
Location Address376 W 10TH AVEColumbus, OH 43210-1280
Mailing Address10651 E StCorpus Christi, TX 78419-5130 · (361) 961-6000
Phone(614) 366-5130
Sole ProprietorYes
Enumeration DateApril 25, 2020
Last NPPES UpdateApril 7, 20254 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1679193056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0102206811
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102206811 (VA)
Also ListedEmergency MedicineTaxonomy 207P00000X · License 58.034842 (OH)
Also ListedInternal MedicineTaxonomy 207R00000X · License 58.034842 (OH)
376 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1620 John Paul Jones Cir Bldg 3Portsmouth, VA 23708-2111 · Phone (757) 953-2339
Location 210651 E StCorpus Christi, TX 78419-5130 · Phone (361) 961-6000

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. Michael James Gibson Juby 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.

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.

KUSHAL NANDAM M.D.
Emergency Medicine
376 W 10TH AVE, 760 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE, 750 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3551
JENNA LYNN GUNN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
KEVIN RIVERA
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8306
SPENCER TALENTINO
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
LEON LIN MD
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-3570
LOGAN ROEBKE
Student in an Organized Health Care Education/Training Program
376 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-6194
JOSHUA S EVERHART MD
Orthopaedic Surgery
376 W 10TH AVE, OHIO STATE UNIVERSITY MEDICAL CENTER
COLUMBUS, OH 43210
Franklin County (614) 293-6194

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 Juby's NPI number?

The NPI number for Michael Juby is 1679193056. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Where is Michael Juby located?

Michael Juby practices at 376 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 366-5130.

What is Michael Juby's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Michael Juby enrolled in Medicare?

Yes. Michael Juby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Juby was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.