Individual provider Active NPI

Raquel Coias Rubin, PA-S

  • Physician Assistant
  • Boiling Springs, NC
National Provider Identifier
1366051450
Registry record updated Jul 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
110 S Main St
Boiling Springs, NC 28017-9797
Phone
(704) 406-4000
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

110 S Main St
Boiling Springs, NC 28017-9797

Mailing address

405 Forest Hill Dr
Shelby, NC 28150-5520
Phone (903) 352-9893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210920000275 NC Practitioner - Physician Assistant 9032516091 Reassigns benefits to 1 organization
I20240423000872 TX Practitioner - Physician Assistant 9032516091 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832

805 Hill Blvd
Unit 102
Granbury, TX 76048-1482
Phone (682) 205-3690

Hospital & facility affiliations

  • Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince May 1, 2024 Accepting new patients
DCS Medical PA CurrentSince May 1, 2024 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

Organizations & group practices 5

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 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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1366051450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 FOREST HILL DR",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281505520",
            "telephone_number": "903-352-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S MAIN ST",
            "city": "BOILING SPRINGS",
            "state": "NC",
            "postal_code": "280179797",
            "telephone_number": "704-406-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "RAQUEL",
        "middle_name": "COIAS",
        "name_prefix": "Ms.",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boiling Springs, NC

Sources for this page

Verify at the official NPI Registry.