Individual provider Active NPI

Sabrina Xiaorui Runbeck, MPH, MHS, PA-C

  • Surgical Physician Assistant
  • Houston, TX
National Provider Identifier
1447640057
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA09938 Issued in TX
Practice address
6550 Fannin St
Houston, TX 77030-2717
Phone
(713) 790-3311
NPI assigned
Feb 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09938 TX
Physician Assistant 363A00000X 25MP00359600 NJ
Surgical Physician Assistant 363AS0400X PA09938 TX Primary

Addresses

Primary practice location

6550 Fannin St
Houston, TX 77030-2717

Mailing address

2002 Holcombe Blvd
Houston, TX 77030-4211

Other practice location 1

2002 Holcombe Blvd
Houston, TX 77030-4211
Phone (713) 791-1414 ext. 23616

Other identifiers 4

IdentifierTypeStateIssuer
0453269MedicaidNJ
8GD882OtherTXBCBS
8105NTOtherTXBCBS
354730901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, AL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151222000133 TX Practitioner - Physician Assistant 9133446743 Reassigns benefits to 3 organizations
I20220602000202 IL Practitioner - Physician Assistant 9133446743 Reassigns benefits to 2 organizations
I20260407002366 AL Practitioner - Physician Assistant 9133446743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

102 Doctors Dr
Dothan, AL 36301-2911
Phone (334) 793-6573

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00359600NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
Carle Health Care Incorporated CurrentSince May 23, 2022 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 1, 2016 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 8, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince May 23, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Apr 8, 2022 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Trinity Clinic Past Accepting new patients
MRG Health Texas PLLC PastSince May 26, 2024 Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

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

6550 Fannin St
Houston, TX 77030
Phone (713) 363-9604

2604 Saint Michael Dr
Ste 425
Texarkana, TX 75503
Phone (903) 614-5600

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: srunbeckpa347641@carlehiedirect.net
  • Direct secure messaging: srunbeck31056@directhoustonmethodist.org

Organizations & group practices 11

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": "1422921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1447640057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-3311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2002 Holcombe Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770304211",
            "country_code": "US",
            "telephone_number": "713-791-1414 x23616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNBECK",
        "first_name": "SABRINA",
        "middle_name": "XIAORUI",
        "credential": "MPH, MHS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09938",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00359600",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA09938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0453269",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8GD882",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8105NT",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "354730901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.