Individual provider Active NPI

Rebekah Varzally, D.O.

  • Emergency Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1568842698
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S4409 Issued in FL
Practice address
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone
(215) 612-5161
Fax
(215) 612-4069
NPI assigned
Jun 3, 2015
Last updated
Sep 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S4409 TX
Emergency Medicine Physician 207P00000X S4409 FL Primary

Addresses

Primary practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Mailing address

11503 NW Military Hwy Ste 202
San Antonio, TX 78231-1895
Phone (210) 233-6363

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
I20200918001492 TX Practitioner - Emergency Medicine 3971921297 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4409FLMDEmergency Medicine Physician
S4409TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tec Emergency Physicians, PLLC CurrentSince Nov 4, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Aug 10, 2023 Accepting new patients
Greater San Antonio Emergency Physicians, PA Emergency Medicine PastSince Sep 13, 2020 Accepting new patients

Locations

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

1850 State Highway 46 W
Ste 109
New Braunfels, TX 78132
Phone (210) 757-5850

11320 Alamo Ranch Pkwy
San Antonio, TX 78253
Phone (210) 485-3644

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

4103 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 572-8415

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1568842698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HWY STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311895",
            "telephone_number": "210-233-6363",
            "fax_number": "210-614-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-5161",
            "fax_number": "215-612-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARZALLY",
        "first_name": "REBEKAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S4409",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "S4409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.