MRS. ELIZABETH J. DUBOSE (M.D.) – Radiation Oncology Physician, NPI 1124081245

MRS. ELIZABETH J. DUBOSE (M.D.) is a healthcare provider. based in San jose, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 32676 (KY). The NPI Number for MRS. ELIZABETH J. DUBOSE (M.D.) is 1124081245

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELIZABETH J. DUBOSE (M.D.)
NPI
1124081245
Phone
(669) 888-0001
Address
2365 Quimby Rd Ste 100
Enumeration Date
10 April 2006
Last Update Date
19 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9257572100
Graduation Year
1990 (36 years ago)
PAC ID
2365338985
Group Practice PAC ID
7810239613
Professional Enrollment ID
I20040223000269
Address ID
CA945318238AN3450XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience83
Completeness75
Years active:20State licenses:2Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

Provider Addresses for MRS. ELIZABETH J. DUBOSE (M.D.)

  • 2365 Quimby Rd Ste 100

    San Jose, CA 951221337

    Phone: (669) 888-0001

    Fax: (669) 888-0551

    Type: Location

  • PO BOX 1631

    EVANSVILLE, IN 477060032

    Phone: (844) 825-9300

    Fax: (775) 852-6902

    Type: Mailing

  • South Winchester Boulevard, San Jose, Santa Clara County, California, 95050-6514, United States

    SAN JOSE, CA 951282928

    Phone: (408) 984-7226

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040223000269IDiagnostic RadiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
72148Mri scan of lower spinal canal without contrast145140$0
73721Mri scan of leg joint without contrast137115$0
73221Mri scan of arm joint without contrast10189$0
72141Mri scan of upper spinal canal without contrast6059$0
70551Mri scan of brain without contrast4242$0
View full utilization report →

Insurance plans in this area (ZIP 95122)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810239613View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyWA
Vascular SurgeryCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Nuclear Medicine, Diagnostic Radiology, Nuclear MedicineAR

Reviews

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Frequently asked questions

What federal number belongs to MRS. ELIZABETH J. DUBOSE (M.D.)?
The federal identifier for MRS. ELIZABETH J. DUBOSE (M.D.) is NPI 1124081245.
Is MRS. ELIZABETH J. DUBOSE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. ELIZABETH J. DUBOSE (M.D.) list a primary specialty?
If you are matching referrals, note Radiation Oncology Physician for MRS. ELIZABETH J. DUBOSE (M.D.). Clinical services aligned with this taxonomy classification.
Where is MRS. ELIZABETH J. DUBOSE (M.D.)'s primary listing?
We display San Jose, California because that is what the record indicates for MRS. ELIZABETH J. DUBOSE (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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