Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Carl Kubek, DO

Individual provider Sleep Medicine (Otolaryngology) Physician · NPI 1003903832

Dr. Douglas Carl Kubek, DO is an Otolaryngology in Saint Clair Shores, Michigan. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1995, 31 years ago. Practices with Lakeshore Ear Nose and Throat Center PC, a 10-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
31
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
Fax: (586) 779-1391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Medicine (Otolaryngology) Physician (primary) Taxonomy 207YS0012X · Licence 5101012806 (MI)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 5101012806 (MI)

Record details

NPI number1003903832
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1995 (31 years in practice)
Group practice Lakeshore Ear Nose And Throat Center Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Clair Shores