Individual provider Active NPI

Ruben Luis Garcia Jr., M.D.

  • Specialist
  • Athens, TX
National Provider Identifier
1639188501
Registry record updated Apr 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
F9465 Issued in TX
Practice address
1701 South Palestine
Suite a
Athens, TX 75751-5739
Phone
(903) 675-9339
Fax
(903) 675-9344
NPI assigned
Aug 7, 2006
Last updated
Apr 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F9465 TX Primary

Addresses

Primary practice location

1701 South Palestine
Suite a
Athens, TX 75751-5739

Mailing address

1701 South Palestine
Suite a
Athens, TX 75751-5739
Phone (903) 675-9339

Other identifiers 5

IdentifierTypeStateIssuer
4408768OtherTXAETNA
8856N0OtherTXMEDICARE
8856N0OtherTXBCBS
340007216OtherTXRAILROAD MEDICARE
0997686-01MedicaidTX

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
I20100601000491 TX Practitioner - Urology 7719961184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

1701 S Palestine St
Suite a
Athens, TX 75751-5739
Phone (903) 675-9339

18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292

2000 S Palestine St
Athens, TX 75751-5610
Phone (903) 676-1000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at Tyler-Facility-Physician CurrentSince Oct 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 1, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince Aug 1, 2019 Accepting new patients
University of Texas Health Science Center at Tyler-Facilty-Physician CurrentSince Oct 1, 2019 Accepting new patients
Starks Medical Past Accepting new patients
Athens Cancer Center LP PastSince Jan 1, 2008 Accepting new patients

Locations

1701 S Palestine St
Ste A
Athens, TX 75751
Phone (903) 675-9339

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

102 W Henderson St
Overton, TX 75684
Phone (903) 834-0201

Interoperability endpoints

  • Direct secure messaging: rgarcia355932@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1639188501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH PALESTINE",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515739",
            "telephone_number": "903-675-9339",
            "fax_number": "903-675-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH PALESTINE",
            "address_2": "SUITE A",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757515739",
            "telephone_number": "903-675-9339",
            "fax_number": "903-675-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RUBEN",
        "middle_name": "LUIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F9465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4408768",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8856N0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8856N0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340007216",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0997686-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.