Individual provider Active NPI

Calixto J Ruibal, MD

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1730284555
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0921 Issued in TX
Practice address
7109-B Lawndale
Lawndale Medical Clinic
Houston, TX 77023
Phone
(713) 924-4907
Fax
(713) 924-4182
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0921 TX Primary

Addresses

Primary practice location

7109-B Lawndale
Lawndale Medical Clinic
Houston, TX 77023

Mailing address

7109-B Lawndale
Lawndale Medical Clinic
Houston, TX 77023
Phone (713) 924-4907

Other identifiers 1

IdentifierTypeStateIssuer
121482701MedicaidTX

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
I20100104000501 TX Practitioner - General Practice 6507883428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calixto J Ruibal MD PAGroup PAC ID 6608834965, 5 clinicians

Practice addresses (Care Compare)

7109 Lawndale St
Suite B
Houston, TX 77023-4248
Phone (713) 924-4907

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calixto J Ruibal MD PA Family Medicine CurrentSince Aug 31, 1982 Accepting new patients

Locations

7109 Lawndale St
#B
Houston, TX 77023
Phone (713) 924-4907

7109B Lawndale St
Houston, TX 77023
Phone (713) 924-4194

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1730284555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109-B LAWNDALE",
            "address_2": "LAWNDALE MEDICAL CLINIC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77023",
            "telephone_number": "713-924-4907",
            "fax_number": "713-924-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109-B LAWNDALE",
            "address_2": "LAWNDALE MEDICAL CLINIC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77023",
            "telephone_number": "713-924-4907",
            "fax_number": "713-924-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIBAL",
        "first_name": "CALIXTO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121482701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.