Individual provider Active NPI

Rubin Harris, MD

  • Internal Medicine Physician
  • San Marcos, TX
National Provider Identifier
1386619765
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H6837 Issued in TX
Practice address
1301 Wonder World Dr
San Marcos, TX 78666-7533
Phone
(512) 342-0455
Fax
(512) 342-0460
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H6837 TX Primary

Addresses

Primary practice location

1301 Wonder World Dr
San Marcos, TX 78666-7533

Mailing address

PO Box 142672
Austin, TX 78714-2672
Phone (512) 342-0455

Other identifiers 2

IdentifierTypeStateIssuer
84824SOtherBCBS
133363505MedicaidTX

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
I20120626000349 TX Practitioner - Internal Medicine 7719911866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Meharry Medical College School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HCC of Laredo LLCGroup PAC ID 8123386521, 29 clinicians

Practice addresses (Care Compare)

1700 E Saunders St
Laredo Medical Center
Laredo, TX 78041-5474
Phone (956) 796-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H6837TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ess of Nacogdoches LLC CurrentSince Sep 23, 2019 Accepting new patients
Lone Star Extensivists PLLC Internal Medicine PastSince Sep 1, 2024 Accepting new patients
Laredo Texas Hospital Company LP Past Accepting new patients
Inpatient Medicine Physicians PA PastSince Apr 1, 2024 Accepting new patients

Locations

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1386619765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142672",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787142672",
            "telephone_number": "512-342-0455",
            "fax_number": "512-342-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667533",
            "telephone_number": "512-342-0455",
            "fax_number": "512-342-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "RUBIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H6837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84824S",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133363505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.