KELLY M KUBIAK D.P.M.
NPI 1801329412
Podiatrist - Foot & Ankle Surgery in Medina, OH

Q: What is Kelly Kubiak's NPI number?

The NPI number for Kelly Kubiak is 1801329412. It was assigned to this individual provider in the NPPES registry on April 10, 2017.

Q: What is Kelly Kubiak's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Kubiak was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 10, 2017PECOS EnrolledAccepts Medicare Assignment

784 MEDINA RD STE 107, MEDINA, OH 44256(330) 591-9635(330) 591-4150 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 23, 2021, Apr 14, 2020, Apr 10, 2017 (3 updates tracked since 2017).

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About Kelly M Kubiak D.p.m. NPPES

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

KELLY M KUBIAK D.P.M. (NPI 1801329412) is an individual foot & ankle surgery provider in Medina, Ohio, licensed in Ohio (36.003911) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Medina Hospital, and maintains a secondary practice location in Cuyahoga Falls.

NPPES Registry Identity

NPI1801329412

Entity TypeIndividualFemale

Primary Taxonomy213ES0103X

Provider Legal NameKELLY M KUBIAKCredential: D.P.M.

Location Address784 MEDINA RD STE 107Medina, OH 44256-9634

Mailing Address365 Riffel Rd Ste AWooster, OH 44691-8592 · (440) 856-5958

Phone(330) 591-9635

Fax(330) 591-4150

Sole ProprietorNo

Medical School CMSKent State University College Of Podiatric MedicineGraduated 2017

Enumeration DateApril 10, 2017

Last NPPES UpdateNovember 23, 20213 updates tracked since enumeration

NPPES CertifiedDecember 6, 2020

✔ NPI 1801329412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in OH · 36.003911

784 MEDINA RD STE 107, Medina, OH 44256

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Secondary Practice Location 1

Location 11900 23rd St Ste 302Cuyahoga Falls, OH 44223-1404 · Phone (330) 591-4150

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly M Kubiak D.p.m. 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.

PECOS PAC ID9234569617

PECOS Enrollment IDI20200427001587

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.

Medicare Billing Reassignment

Medicare enrollment records show Kelly Kubiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prestige Foot & Ankle Center LLC

Same address

Foot & Ankle Surgery

784 MEDINA RD, STE # 107
Medina, OH 44256

Reassigned Medicare billing, Ohio enrollment
9 clinicians in this Medicare group

NPI 1700145372 (234) 248-4237

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

99 services55 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

31 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services17 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

16 services11 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medina Hospital

Acute Care Hospitals · Medina, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360091

Location1000 East Washington StreetMedina, OH 44256 · Medina County

Emergency services

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360180

Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County

Emergency services Birthing friendly

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.

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims1,200 services$0.10 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

3 suppliers24 claims48 services$61.52 avg. paid by Medicare

For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514

DME-Orthotic Devices · category DF000N

2 suppliers15 claims87 services$34.63 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims477 services$7.10 avg. paid by Medicare

Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902

DME-Orthotic Devices · category DF003N

1 supplier11 claims11 services$62.14 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 6

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

OLSI KAROQJA APRN

Family Medicine