Individual provider Active NPI

Safa Rubaye, MD

  • Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1194143859
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
S0374 Issued in TX
Practice address
7800 W Interstate 10 Ste 624
San Antonio, TX 78230-4750
Phone
(210) 550-4533
NPI assigned
Mar 31, 2014
Last updated
Dec 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 295270 NY
Psychiatry Physician 2084P0800X S0374 TX Primary

Addresses

Primary practice location

7800 W Interstate 10 Ste 624
San Antonio, TX 78230-4750

Mailing address

7800 W Interstate 10 Ste 624
San Antonio, TX 78230-4750
Phone (210) 550-4533

Other practice location 1

8401 Datapoint Dr Ste 900
San Antonio, TX 78229
Phone (844) 312-9422

Other practice location 2

6105 Beverlyhill St Ste 101A
Houston, TX 77057-6716
Phone (210) 550-4533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200305000761 TX Practitioner - Psychiatry 9234434754 Reassigns benefits to 3 organizations
I20220202002775 OH Practitioner - Psychiatry 9234434754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1500 S Dairy Ashford Rd
Suite 200
Houston, TX 77077-3858
Phone (281) 208-7414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295270NYMDPsychiatry Physician
S0374TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Health Care Management LLC CurrentSince Jul 30, 2023 Accepting new patients
Thrive Counseling LLC CurrentSince Nov 16, 2021 Accepting new patients
Insight Mental Wellness PA Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
G&a Wellness Medical Clinic, PLLC CurrentSince May 1, 2022 Accepting new patients
Ashtabula County Medical Center CurrentSince Jan 21, 2022 Accepting new patients
Mobile Psych PLLC Psychiatry CurrentSince Mar 6, 2022 Accepting new patients
Tbi Integrative Care, PLLC Psychiatry CurrentSince Apr 17, 2022 Accepting new patients
Functional Neurorestoration Institute PLLC PastSince Feb 4, 2020 Accepting new patients
Therapro Medical and Surgical Rehabilitation, P.C. Past Accepting new patients
Medvon Medical Clinic Professional Corporation PastSince Oct 1, 2022 Accepting new patients

Locations

7 Lincoln Hwy
Ste 224
Edison, NJ 08820
Phone (732) 479-4763

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

950 Washington Blvd
Beaumont, TX 77705
Phone (409) 554-8060

1500 S Dairy Ashford Rd
Ste 200
Houston, TX 77077
Phone (281) 208-7414

5450 NW Central Dr
Ste 120
Houston, TX 77092

10807 Perrin Beitel Rd
Ste 300
San Antonio, TX 78217
Phone (210) 245-7862

12915 Jones Maltsberger Rd
Ste 102
San Antonio, TX 78247
Phone (210) 245-7862

7800 W Interstate 10
Ste 624
San Antonio, TX 78230
Phone (210) 550-4533

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1194143859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 W INTERSTATE 10 STE 624",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304750",
            "telephone_number": "210-550-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W INTERSTATE 10 STE 624",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304750",
            "telephone_number": "210-550-4533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8401 Datapoint Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "844-312-9422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6105 Beverlyhill St Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770576716",
            "country_code": "US",
            "telephone_number": "210-550-4533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBAYE",
        "first_name": "SAFA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "295270",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S0374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.