MR. PETER J STUBIN MD
NPI 1790475580
Student in an Organized Health Care Education/Training Program in Blacksburg, VA
About Mr. Peter J Stubin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PETER J STUBIN MD (NPI 1790475580) is an individual student in an organized health care education/training program in Blacksburg, Virginia and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Peter J Stubin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BLACKSBURG, VA 24060
BLACKSBURG, VA 24060
BLACKSBURG, VA 24060
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 Peter Stubin's NPI number?
The NPI number for Peter Stubin is 1790475580. It was assigned to this individual provider in the NPPES registry on May 15, 2023.
Where is Peter Stubin located?
Peter Stubin practices at 3700 S Main St, Blacksburg, VA 24060. The listed phone number is (787) 840-2575.
What is Peter Stubin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Peter Stubin enrolled in Medicare?
Yes. Peter Stubin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Peter Stubin was last updated on March 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mr. Peter J Stubin, MD · NPI 1790475580
Student in an Organized Health Care Education/Training Program provider in Blacksburg, Virginia. Individual provider, active in the CMS NPPES registry since May 15, 2023.
## Identity
- **NPI:** 1790475580 (Entity type: Individual)
- **Enumerated:** May 15, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3700 S MAIN ST, Blacksburg, VA 24060-7017
- **Phone:** (787) 840-2575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790475580) · Data from the CMS NPPES public registry.