Individual provider Active NPI

Knic Corpuz Rabara, D.O.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1275829939
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R7574 Issued in TX
Practice address
18700 Katy Fwy
Mob 3, Suite 403
Houston, TX 77094
Phone
(832) 522-8444
Fax
(832) 522-8445
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB09366700 NJ
Family Medicine Physician 207Q00000X 25MB09366700 NJ
Family Medicine Physician 207Q00000X R7574 TX Primary

Addresses

Primary practice location

18700 Katy Fwy
Mob 3, Suite 403
Houston, TX 77094

Mailing address

18700 Katy Fwy
Mob 3, Suite 403
Houston, TX 77094
Phone (832) 522-8444

Other identifiers 1

IdentifierTypeStateIssuer
0436011MedicaidNJ

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
I20180918003845 TX Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8729300181 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

18400 Katy Fwy
Suite 300
Houston, TX 77094-1298
Phone (832) 522-9444

4710 Bellaire Blvd
Bellaire, TX 77401-4505
Phone (713) 363-9411

7550 Greenbriar Dr
Houston, TX 77030-4508

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

  • Benchmark Home Health Home health agency, Houston, TX, CCN 747856
  • Doctor'S Choice Home Care Home health agency, Houston, TX, CCN 678169
  • Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741
  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09366700NJMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2020 Accepting new patients
TMH Physician Associates PLLC Family Medicine CurrentSince Oct 3, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Oct 3, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2018 Accepting new patients
Baylor College of Medicine Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
Virtua Medical Group, PA Family Medicine Past Accepting new patients
Rowansom Dept of Pediatrics Past Accepting new patients

Locations

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

18700 Katy Fwy
Ste 403
Houston, TX 77094
Phone (832) 522-8444

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: krabara422568@directhoustonmethodist.org

Organizations & group practices 8

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1275829939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 KATY FWY",
            "address_2": "MOB 3, SUITE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "832-522-8444",
            "fax_number": "832-522-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 KATY FWY",
            "address_2": "MOB 3, SUITE 403",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77094",
            "telephone_number": "832-522-8444",
            "fax_number": "832-522-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABARA",
        "first_name": "KNIC",
        "middle_name": "CORPUZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB09366700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09366700",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0436011",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.