MARK DUBIN (M.D.) – Diagnostic Radiology Physician, NPI 1700843240

MARK DUBIN (M.D.) is a healthcare provider. based in Simi valley, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. G67625 (CA). The NPI Number for MARK DUBIN (M.D.) is 1700843240

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK DUBIN (M.D.)
NPI
1700843240
Phone
(805) 522-5940
Address
PO BOX 190
Enumeration Date
27 April 2006
Last Update Date
16 August 2007

Doctor Profile

Medical School Name
UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE
Secondary Phone
5626980611
Graduation Year
1988 (38 years ago)
PAC ID
7618052549
Group Practice PAC ID
8224032271
Professional Enrollment ID
I20110131000784
Address ID
CA906021099WH12401BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for MARK DUBIN (M.D.)

  • PO BOX 190

    SIMI VALLEY, CA 930620190

    Phone: (805) 522-5940

    Fax: (805) 522-6401

    Type: Mailing

  • PIH Health Hospital - Downey, 11500, Brookshire Avenue, Downey, Los Angeles County, California, 90241, United States

    DOWNEY, CA 902414917

    Phone: (562) 904-5000

    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: 2011-01-31

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
I20110131000784IDiagnostic 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
71045X-ray of chest, 1 view1,8351,507$0
71046X-ray of chest, 2 views484465$0
77080Dxa bone density measurement of hip, pelvis, spine394394$0
77067Screening mammography356356$0
77063Screening 3d breast mammography353353$0
View full utilization report →

Insurance plans in this area (ZIP 93062)

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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: 8224032271View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantWA
Diagnostic RadiologyCA
Diagnostic Radiology, Interventional RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyIN
Physician AssistantCA
Diagnostic RadiologyCA
Diagnostic RadiologyNC

Reviews

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Frequently asked questions

Can I use this page to confirm MARK DUBIN (M.D.)'s NPI?
Yes. MARK DUBIN (M.D.) is listed with NPI 1700843240 in the public NPI dataset.
Can I rely on MARK DUBIN (M.D.) being an active provider?
As of the registry snapshot, MARK DUBIN (M.D.) is marked active.
What is MARK DUBIN (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for MARK DUBIN (M.D.) here. Clinical services aligned with this taxonomy classification.
Does MARK DUBIN (M.D.) list a practice location?
Patients near Simi Valley, California may find MARK DUBIN (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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