Individual provider Active NPI

Rebecca Maring Robert, MD

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1659319424
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K0548 Issued in TX
Practice address
1631 Lancaster Drive
Suite #220
Grapevine, TX 76051-2113
Phone
(817) 865-5300
Fax
(817) 442-9841
NPI assigned
Jun 3, 2006
Reactivated
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K0548 TX Primary

Addresses

Primary practice location

1631 Lancaster Drive
Suite #220
Grapevine, TX 76051-2113

Mailing address

1631 Lancaster Drive
Suite #220
Grapevine, TX 76051-2113
Phone (817) 865-5300

Other identifiers 1

IdentifierTypeStateIssuer
029692301MedicaidTX

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
I20080730000414 TX Practitioner - Obstetrics/Gynecology 2163596735 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Oct 7, 2018 Accepting new patients
Baylor Regional Medical Center at Grapevine Past Accepting new patients

Locations

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

Organizations & group practices 2

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1659319424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DRIVE",
            "address_2": "SUITE #220",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512113",
            "telephone_number": "817-865-5300",
            "fax_number": "817-442-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 LANCASTER DRIVE",
            "address_2": "SUITE #220",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512113",
            "telephone_number": "817-865-5300",
            "fax_number": "817-442-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERT",
        "first_name": "REBECCA",
        "middle_name": "MARING",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-05-25",
        "deactivation_date": "2007-06-20",
        "reactivation_date": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K0548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029692301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.