Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KACPER KUBISZEWSKI MD
NPI 1992586028
Radiology - Vascular & Interventional Radiology in Jacksonville, FL

Q: What is Kacper Kubiszewski's NPI number?

The NPI number for Kacper Kubiszewski is 1992586028. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Q: What is Kacper Kubiszewski's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Active since October 13, 2023PECOS Enrolled

4500 SAN PABLO RD S, JACKSONVILLE, FL 32224(904) 953-2285 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, Apr 17, 2024, Oct 13, 2023 (3 updates tracked since 2023).

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About Kacper Kubiszewski Md NPPES

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

KACPER KUBISZEWSKI MD (NPI 1992586028) is an individual vascular & interventional radiology provider in Jacksonville, Florida, licensed in Florida (ME176278) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1992586028

Entity TypeIndividualMale

Primary Taxonomy2085R0204X

Provider Legal NameKACPER KUBISZEWSKICredential: MD

Location Address4500 SAN PABLO RD SJacksonville, FL 32224-1865

Mailing Address4500 San Pablo Rd SJacksonville, FL 32224-1865

Phone(904) 953-2285

Sole ProprietorNo

Enumeration DateOctober 13, 2023

Last NPPES UpdateJune 16, 20263 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1992586028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0204X

License✔ Licensed in FL · ME176278

Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

4500 SAN PABLO RD S, Jacksonville, FL 32224

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Secondary Practice Location 1

Location 16850 Lake Nona BlvdOrlando, FL 32827-7408 · Phone (407) 266-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kacper Kubiszewski Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KATHERINE L WALSH PA-C/MPH

Physician Assistant