Individual provider Active NPI

Salmin Roebuck, PA

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1013650290
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
740462 Issued in TX
Practice address
6300 La Calma Dr Ste 200
Austin, TX 78752-3825
Phone
(234) 360-2237
NPI assigned
Apr 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 740462 TX Primary

Addresses

Primary practice location

6300 La Calma Dr Ste 200
Austin, TX 78752-3825

Mailing address

6300 La Calma Dr Ste 200
Austin, TX 78752-3825
Phone (234) 360-2237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220623003469 TX Practitioner - Physician Assistant 9436538261 Reassigns benefits to 2 organizations
I20241011000758 TN Practitioner - Physician Assistant 9436538261 Reassigns benefits to 1 organization
I20260107002757 KY Practitioner - Physician Assistant 9436538261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fep of Kentucky LLCGroup PAC ID 8123473626, 21 clinicians

Practice addresses (Care Compare)

320 W 18TH St
Hopkinsville, KY 44240-1965
Phone (505) 287-4446

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
740462TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Physician Assistant CurrentSince Apr 1, 2023 Accepting new patients
Fep of Kentucky LLC Physician Assistant CurrentSince Dec 18, 2025 Accepting new patients

Locations

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1013650290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "234-360-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 LA CALMA DR STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787523825",
            "telephone_number": "234-360-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEBUCK",
        "first_name": "SALMIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "740462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.