NAFILA KOUBA (M.D.) – Family Medicine Physician, NPI 1114347648
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NAFILA KOUBA (M.D.)
396 BROADWAY
KINGSTON, NY 124014626
Phone: (845) 802-7600
Fax: (845) 338-0307
Type: Mailing
1 FAMILY PRACTICE DR
KINGSTON, NY 124016449
Phone: (845) 338-6400
Fax: (845) 339-7288
Type: Location
1 Family Practice Dr
Kingston, NY 124016449
Phone: (845) 338-6400
Fax: (845) 339-7288
Type: Location
6317 4TH AVE
BROOKLYN, NY 112204922
Phone: (718) 907-8100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-06-03 • Largest payer in this snapshot: ABBVIE INC. ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $22 |
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: 2018-02-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180214002795 | I | Family Practice | NY | TBD |
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.
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 12401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| Nurse Practitioner | NY | |
| General Surgery, Critical Care (Intensivists) | NJ | |
| Gastroenterology, Internal Medicine | MA | |
| General Surgery | NY | |
| Certified Nurse Midwife (Cnm) | NY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | NY | |
| Clinical Psychologist | NY | |
| P O D I A T R Y | NY | |
| - | NY |
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