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

Fred Kubus, PA

Individual provider Medical Physician Assistant · NPI 1730572140

Fred Kubus, PA is a Physician Assistant in Williamsville, New York. Qualified in 2014, 12 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

5904 Sheridan Dr
Williamsville, NY 14221-5873
Phone: (716) 886-5493
Fax: (716) 886-5835
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2704 N Tenaya Way, Las Vegas, NV 89128-0424 — (702) 243-8500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020978 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 020978 (NY)

Record details

NPI number1730572140
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2015
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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