Individual provider Active NPI

Gabriel Ray Schlebach, PA-C

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1073740080
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
3901 W. 15TH
Plano, TX 75070-5169
Phone
(972) 280-0080
NPI assigned
Jun 17, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

3901 W. 15TH
Plano, TX 75070-5169

Mailing address

PO Box 93175
Southlake, TX 76092-1175
Phone (972) 280-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090811000544 TX Practitioner - Physician Assistant 6002960085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Texas HSC, College of Osteopathic Med, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Assistant Services of Texas L.L.PGroup PAC ID 2062303803, 15 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 882-2000

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 346-5700

1608 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 685-4000

2700 E Broad St
Mansfield, TX 76063-5899
Phone (682) 622-2000

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-0111

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone (817) 255-1000

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 336-2100

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851
  • Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Assistant Services of Texas L.L.P CurrentSince Jul 1, 2009 Accepting new patients

Locations

1608 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7700

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 1

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 6

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": "1245196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1073740080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93175",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921175",
            "telephone_number": "972-280-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W. 15TH",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750705169",
            "telephone_number": "972-280-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEBACH",
        "first_name": "GABRIEL",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.