Individual provider Active NPI

Richard Kobylar, DPM

  • Podiatrist
  • Bay City, TX
National Provider Identifier
1194764043
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1691 Issued in TX
Practice address
600 Hospital Cir Ste 103
Bay City, TX 77414-4772
Phone
(979) 245-9500
Fax
(979) 323-7370
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1691 TX
Durable Medical Equipment & Medical Supplies 332B00000X 1691 TX
Customized Equipment (DME) 332BC3200X 1691 TX
Podiatrist 213E00000X 1691 TX Primary

Addresses

Primary practice location

600 Hospital Cir Ste 103
Bay City, TX 77414-4772

Mailing address

600 Hospital Cir Ste 103
Bay City, TX 77414-4772
Phone (979) 245-9500

Other identifiers 3

IdentifierTypeStateIssuer
1052331OtherTXBCBS BLUELINK
181694401MedicaidTX
7311810OtherTXAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.richardkobylardpm.com Direct

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041012000303 TX Practitioner - Podiatry 5991765349 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Wharton, TX; Sweeny, TX; El Campo, TX; Edna, TX; Bay City, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

305 N McKinney St
Richard Scott Kobylar JC Tanenbaum
Sweeny, TX 77480-2801
Phone (979) 245-9500

305 Sandy Corner Rd
Suite 220
El Campo, TX 77437-9535
Phone (979) 245-9500

600 Hospital Cir
Suite 103
Bay City, TX 77414-4772
Phone (979) 245-9500

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Bay City, TX, CCN 679345
  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
  • Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311
  • El Campo Memorial Hospital Hospital, El Campo, TX, CCN 450694

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue439
Removal of skin lesions1-10
Removal of nail tissue169
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1691TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Scott Kobylar J C Tanenbaum DPM PA & Associates Foot & Ankle Surgery CurrentSince Jan 26, 2007 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

1115 Avenue F
Bay City, TX 77414
Phone (979) 244-4323

600 Hospital Cir
Ste 103
Bay City, TX 77414
Phone (979) 245-9500

4201 Garth Rd
Ste 309
Baytown, TX 77521
Phone (281) 428-1922

1013 S Wells St
Edna, TX 77957
Phone (361) 782-5241

305 Sandy Corner Rd
Ste 220
El Campo, TX 77437
Phone (713) 441-3560

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

205 N Alabama Rd
Wharton, TX 77488
Phone (979) 245-9500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1194764043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR STE 103",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144772",
            "telephone_number": "979-245-9500",
            "fax_number": "979-323-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HOSPITAL CIR STE 103",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144772",
            "telephone_number": "979-245-9500",
            "fax_number": "979-323-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBYLAR",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1691",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1691",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "1691",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUELINK",
            "identifier": "1052331",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181694401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7311810",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.richardkobylardpm.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "600 Hospital Cir Ste 103",
            "city": "Bay City",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774144772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

Verify at the official NPI Registry.