Individual provider Active NPI

Phillip Clay Rinn, MD

  • Family Medicine Physician
  • Seguin, TX
National Provider Identifier
1174609135
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0012 Issued in TX
Practice address
519 N King Street
Ste 107
Seguin, TX 78155
Phone
(830) 372-0994
Fax
(830) 379-3049
NPI assigned
Oct 31, 2006
Last updated
Mar 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0012 TX Primary

Addresses

Primary practice location

519 N King Street
Ste 107
Seguin, TX 78155

Mailing address

519 N King Street
Ste 107
Seguin, TX 78155
Phone (830) 372-0994

Other identifiers 3

IdentifierTypeStateIssuer
112107102MedicaidTX
8AJ783OtherTXBC/BS
112107101MedicaidTX

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
I20110214000522 TX Practitioner - Family Practice 5991985517 Practice locations: Seguin, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

519 N King St
Suite 105
Seguin, TX 78155-4859
Phone (830) 372-0994

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip C Rinn MD Family Medicine CurrentSince Oct 10, 2010 Accepting new patients
Guadalupe County Hospital Board Past Accepting new patients

Locations

519 N King St
Ste 107
Seguin, TX 78155
Phone (512) 372-0994

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1174609135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N KING STREET",
            "address_2": "STE 107",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-0994",
            "fax_number": "830-379-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N KING STREET",
            "address_2": "STE 107",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-372-0994",
            "fax_number": "830-379-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINN",
        "first_name": "PHILLIP",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112107102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8AJ783",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112107101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.