Individual provider Active NPI

Robert Lee Ebeling III, M.D.

  • Radiation Oncology Physician
  • Fredericksburg, TX
National Provider Identifier
1285896936
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
N3627 Issued in TX
Practice address
753 S Washington St BLDG D
Fredericksburg, TX 78624-5247
Phone
(830) 990-4800
Fax
(830) 990-4806
NPI assigned
Jun 25, 2008
Last updated
Dec 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 069799 GA
Radiation Oncology Physician 2085R0001X N3627 TX Primary

Addresses

Primary practice location

753 S Washington St BLDG D
Fredericksburg, TX 78624-5247

Mailing address

PO Box 1008
San Marcos, TX 78667-1008
Phone (866) 317-3801

Other practice location 1

1255 Highway 54 W
Bldg. 1267, Suite 1100
Fayetteville, GA 30214-4526
Phone (770) 719-5850

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
I20170105001565 TX Practitioner - Radiation Oncology 7012157589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

753 S Washington St
BLDG D
Fredericksburg, TX 78624-5247
Phone (830) 990-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069799GAMDRadiation Oncology Physician
N3627TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Cancer Center LP Radiation Oncology CurrentSince Dec 5, 2016 Accepting new patients
Hill Country Center for Cancer Care Radiation Oncology CurrentSince Jan 1, 2020 Accepting new patients
David C Jones MD PA Radiation Oncology Past Accepting new patients
Clear Springs Center for Cancer Care LTD Radiation Oncology PastSince Dec 29, 2019 Accepting new patients

Locations

753 S Washington St
Bldg D
Fredericksburg, TX 78624
Phone (830) 990-4800

1001 Water St
Ste J
Kerrville, TX 78028
Phone (830) 257-3131

1001 Water St
Ste J-100
Kerrville, TX 78028
Phone (830) 257-3131

4201 Medical Center Dr
Ste 180
McKinney, TX 75069
Phone (817) 261-4906

5948 W Parker Rd
#200
Plano, TX 75093
Phone (469) 259-9822

Organizations & group practices 4

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 1

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1285896936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786671008",
            "telephone_number": "866-317-3801",
            "fax_number": "512-583-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 S WASHINGTON ST BLDG D",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245247",
            "telephone_number": "830-990-4800",
            "fax_number": "830-990-4806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Highway 54 W",
            "address_2": "Bldg. 1267, Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302144526",
            "country_code": "US",
            "telephone_number": "770-719-5850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBELING",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "069799",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "N3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.