JONATHAN EVAN LUBECK MD
NPI 1790487825
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Jonathan Evan Lubeck Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN EVAN LUBECK MD (NPI 1790487825) is an individual student in an organized health care education/training program in Minneapolis, Minnesota, licensed in Minnesota (83335) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2023).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonathan Evan Lubeck Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Regional Medical Center-Pee Dee
Acute Care Hospitals · Florence, SCOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
MINNEAPOLIS, MN 55454
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 Jonathan Lubeck's NPI number?
The NPI number for Jonathan Lubeck is 1790487825. It was assigned to this individual provider in the NPPES registry on March 21, 2023.
Where is Jonathan Lubeck located?
Jonathan Lubeck practices at 2312 S 6th St, Minneapolis, MN 55454. The listed phone number is (612) 625-3330.
What is Jonathan Lubeck's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jonathan Lubeck enrolled in Medicare?
Yes. Jonathan Lubeck is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jonathan Lubeck affiliated with any hospitals?
According to CMS data, Jonathan Lubeck is affiliated with Mcleod Regional Medical Center-Pee Dee.
When was this NPI record last updated?
The NPPES record for Jonathan Lubeck was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Jonathan Evan Lubeck, MD · NPI 1790487825
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 21, 2023.
## Identity
- **NPI:** 1790487825 (Entity type: Individual)
- **Enumerated:** March 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 83335 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2312 S 6TH ST, Minneapolis, MN 55454-1336
- **Phone:** (612) 625-3330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2023
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790487825) · Data from the CMS NPPES public registry.