Individual provider Active NPI

Rubby Grbic, MD, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1477300291
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2102 Issued in PR
Practice address
8355 Walnut Hill LN Ste 200B
Dallas, TX 75231-4202
Phone
(214) 466-6618
NPI assigned
Apr 30, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C11-0000030 DE
Physician Assistant 363A00000X 2102 PR Primary
Physician Assistant 363A00000X THPA00061 AZ
Physician Assistant 363A00000X 724 FL

Addresses

Primary practice location

8355 Walnut Hill LN Ste 200B
Dallas, TX 75231-4202

Mailing address

2820 S Alma School Rd Ste 18
Chandler, AZ 85286-4394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
THPA00061AZMDPhysician Assistant
C11-0000030DEMDPhysician Assistant
724FLMDPhysician Assistant
2102PRMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1477300291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 S ALMA SCHOOL RD STE 18",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852864394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 200B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314202",
            "telephone_number": "214-466-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRBIC",
        "first_name": "RUBBY",
        "credential": "MD, PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C11-0000030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "2102",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "THPA00061",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "724",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.