Individual provider Active NPI

Carlos Rubin de Celis, MD

  • Medical Oncology Physician
  • Austin, TX
National Provider Identifier
1275571879
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
L4682 Issued in TX
Practice address
2911 Medical Arts St
Suite 13
Austin, TX 78705-3376
Phone
(512) 478-9990
Fax
(512) 469-0116
NPI assigned
Jun 4, 2006
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X L4682 TX Primary

Addresses

Primary practice location

2911 Medical Arts St
Suite 13
Austin, TX 78705-3376

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 5

IdentifierTypeStateIssuer
155437002MedicaidTX
155437006MedicaidTX
178274001MedicaidTX
8R1598OtherTXBLUE CROSS OF TEXAS
155437003MedicaidTX

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
I20050715000345 TX Practitioner - Medical OncologyPractitioner - Internal Medicine 9739115296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900

4101 James Casey St
Austin, TX 78745-1145

6204 Balcones Dr
Austin, TX 78731-4214
Phone (512) 427-9400

805 W 37TH St
Austin, TX 78705-1171
Phone (512) 421-4280

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L4682TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Medical Oncology Current Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Jul 1, 2005 Accepting new patients
Texas Oncology PA Medical Oncology CurrentSince Jul 1, 2005 Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202

6204 Balcones Dr
Austin, TX 78731
Phone (512) 302-1771

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

2410 Round Rock Ave
Ste 150
Round Rock, TX 78681
Phone (512) 341-8724

Interoperability endpoints

  • Direct secure messaging: carlos.rubindecelis@txo.ikm.direct-ci.com

Organizations & group practices 3

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 3

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1275571879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-437-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 MEDICAL ARTS ST",
            "address_2": "SUITE 13",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053376",
            "telephone_number": "512-478-9990",
            "fax_number": "512-469-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN DE CELIS",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "L4682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155437002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155437006",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178274001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF TEXAS",
            "identifier": "8R1598",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155437003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.