NPIMap

Individual provider Active NPI

Cindy Kiel Buban, PA

  • Physician Assistant
  • College Station, TX
National Provider Identifier
1063605798
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA02026 Issued in TX
Practice address
1721 Birmingham Dr
Suite 204
College Station, TX 77845-4081
Phone
(979) 696-8000
Fax
(979) 696-8100
NPI assigned
Aug 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 PA02026 TX Primary

Addresses

Primary practice location

1721 Birmingham Dr
Suite 204
College Station, TX 77845-4081

Mailing address

1721 Birmingham Dr
Suite 204
College Station, TX 77845-4082
Phone (979) 696-8000

Other names 1

  • Cindy Lynn Kiel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000350 TX Practitioner - Physician Assistant 2062595523 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

3201 University Dr E
Suite 345
Bryan, TX 77802-3484
Phone (979) 731-8655

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Dec 1, 2022 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Dec 1, 2022 Accepting new patients
Avi B Markowitz, MD, PA Past Accepting new patients

Locations

3850 Sagebriar Dr
Ste 117
Bryan, TX 77802
Phone (979) 731-8465

3201 University Dr E
Ste 345
Bryan, TX 77802
Phone (979) 776-2715

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: cindy.buban.1@8042.direct.athenahealth.com

Organizations & group practices 6

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 5

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1063605798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "address_2": "SUITE 204",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454082",
            "telephone_number": "979-696-8000",
            "fax_number": "979-696-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 BIRMINGHAM DR",
            "address_2": "SUITE 204",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454081",
            "telephone_number": "979-696-8000",
            "fax_number": "979-696-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUBAN",
        "first_name": "CINDY",
        "middle_name": "KIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "KIEL",
            "middle_name": "LYNN",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.