JOHN DUBOIS (CCC-SLP) – Speech-Language Pathologist, NPI 1922413194

JOHN DUBOIS (CCC-SLP) is a healthcare provider. based in Springfield, Massachusetts. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials CCC-SLP. The NPI Number for JOHN DUBOIS (CCC-SLP) is 1922413194

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DUBOIS (CCC-SLP)
NPI
1922413194
Phone
(800) 218-9280
Address
136 WILLIAM ST
Enumeration Date
26 June 2014
Last Update Date
26 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7344072500
Graduation Year
2007 (19 years ago)
PAC ID
0547576720
Group Practice PAC ID
9830404763
Professional Enrollment ID
I20150902002207
Address ID
MI481244406DE3101XFXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:11State licenses:0Digital endpointsOther names

332 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in MI

Provider Addresses for JOHN DUBOIS (CCC-SLP)

  • 136 WILLIAM ST

    SPRINGFIELD, MA 011052324

    Phone: (800) 218-9280

    Type: Mailing

  • 3101 S GULLEY RD STE F-G

    DEARBORN, MI 481244406

    Phone: (734) 407-2500

    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: 2015-09-02

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
I20150902002207IQualified Speech Language PathologistMITBD

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
92610Evaluation of swallowing function270267$0
View full utilization report →

Insurance plans in this area (ZIP 01105)

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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: 9830404763View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for JOHN DUBOIS (CCC-SLP)?
JOHN DUBOIS (CCC-SLP) — NPI 1922413194 — is the standard way to identify this listing.
Is JOHN DUBOIS (CCC-SLP) listed as active for patients and plans?
The listing shows JOHN DUBOIS (CCC-SLP) as active in the NPI system.
What healthcare role does JOHN DUBOIS (CCC-SLP) hold?
Scheduling teams often label JOHN DUBOIS (CCC-SLP) under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for JOHN DUBOIS (CCC-SLP)?
JOHN DUBOIS (CCC-SLP)'s geographic hint is Springfield, Massachusetts in our summary view.
Is the information about JOHN DUBOIS (CCC-SLP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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