Individual provider Active NPI

Elba I Rubianes, MD

  • Dermatology Physician
  • Plano, TX
National Provider Identifier
1114904802
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R9851 Issued in TX
Practice address
6000 W Spring Creek Pkwy Ste 200
Plano, TX 75024-3617
Phone
(972) 316-4555
Fax
(214) 285-0791
NPI assigned
Dec 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0065725 FL
Procedural Dermatology Physician 207NS0135X ME0065725 FL
Procedural Dermatology Physician 207NS0135X R9851 TX
Dermatology Physician 207N00000X R9851 TX Primary

Addresses

Primary practice location

6000 W Spring Creek Pkwy Ste 200
Plano, TX 75024-3617

Mailing address

4471 Long Prairie Rd Ste 100
Flower Mound, TX 75028-1755
Phone (972) 316-4555

Other practice location 1

2335 Tamiami Trl N
Ste 207
Naples, FL 34103-4456
Phone (239) 435-0718

Other identifiers 2

IdentifierTypeStateIssuer
926255OtherFLNAPLES PHO NUMBER
25372OtherFLBCBS OF FL

Other names 1

  • Dr. Elba Iris Rubianes-Collazo Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221000382 TX Practitioner - Dermatology 2365548195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

1450 N Preston Rd
Prosper, TX 75078-9890
Phone (972) 316-4555

152 Brand
Suite 100
Murphy, TX 75094-3717
Phone (972) 316-4555

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions465
Skin biopsy241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0065725FLMDDermatology Physician
R9851TXMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael McGuiness, PA Dermatology CurrentSince Mar 1, 2019 Accepting new patients
Grace Elizabeth Brown, MD PA Past Accepting new patients

Locations

152 Brand
Ste 100
Murphy, TX 75094
Phone (214) 615-1735

6100 Windhaven Pkwy
Plano, TX 75093
Phone (214) 615-1735

6000 W Spring Creek Pkwy
Ste 200
Plano, TX 75024

1450 N Preston Rd
Ste 60
Prosper, TX 75078

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1114904802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4471 LONG PRAIRIE RD STE 100",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281755",
            "telephone_number": "972-316-4555",
            "fax_number": "972-316-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W SPRING CREEK PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243617",
            "telephone_number": "972-316-4555",
            "fax_number": "214-285-0791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Tamiami Trl N",
            "address_2": "STE 207",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341034456",
            "country_code": "US",
            "telephone_number": "239-435-0718",
            "fax_number": "239-435-9307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIANES",
        "first_name": "ELBA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-23",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0065725",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "ME0065725",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "R9851",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R9851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAPLES PHO NUMBER",
            "identifier": "926255",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "25372",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELBA",
            "last_name": "RUBIANES-COLLAZO",
            "middle_name": "IRIS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.