ADAM DAVID HUBERT (PA) – Physician Assistant, NPI 1245920479

ADAM DAVID HUBERT (PA) is a healthcare provider. based in Wichita, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA68076 (CA). The NPI Number for ADAM DAVID HUBERT (PA) is 1245920479

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ADAM DAVID HUBERT (PA)
NPI
1245920479
Phone
(316) 650-5740
Address
11505 E CALAIS RD
Enumeration Date
10 May 2023
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3164402565
Graduation Year
2023 (3 years ago)
PAC ID
5991155236
Group Practice PAC ID
7618042698
Professional Enrollment ID
I20231228001201
Address ID
KS672092508WI4722XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for ADAM DAVID HUBERT (PA)

  • 11505 E CALAIS RD

    WICHITA, KS 672101888

    Phone: (316) 650-5740

    Type: Mailing

  • 250 NORTHGATE DR STE 102

    MANTECA, CA 953363161

    Phone: (209) 722-4842

    Type: Mailing

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: 2023-12-28

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
I20231228001201IPhysician AssistantKSTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67210)

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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: 7618042698View full group profile
NameSpecialtyState
Physician AssistantKS
-KS
Physician AssistantKS
-KS
Nurse PractitionerKS
Physician AssistantKS
Physician AssistantKS
Physician AssistantKS
Physician AssistantKS
Internal Medicine, Pediatric Medicine, Internal Medicine, Emergency MedicineOK

Reviews

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Frequently asked questions

Does ADAM DAVID HUBERT (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ADAM DAVID HUBERT (PA) uses 1245920479.
Is ADAM DAVID HUBERT (PA) listed as active for patients and plans?
The listing shows ADAM DAVID HUBERT (PA) as active in the NPI system.
What is ADAM DAVID HUBERT (PA) best known for clinically?
Directory data describes ADAM DAVID HUBERT (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ADAM DAVID HUBERT (PA)?
ADAM DAVID HUBERT (PA)'s geographic hint is Wichita, Kansas in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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