Individual provider Active NPI

Rafael Andres Ibarra, M.D.

  • Family Medicine Physician
  • West Lake Hills, TX
National Provider Identifier
1740441104
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7650 Issued in TX
Practice address
1250 S Capital of Texas Hwy
BLDG. One, Suite 500
West Lake Hills, TX 78746-6446
Phone
(512) 402-6233
Fax
(512) 903-1053
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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 P7650 TX Primary

Addresses

Primary practice location

1250 S Capital of Texas Hwy
BLDG. One, Suite 500
West Lake Hills, TX 78746-6446

Mailing address

1250 S Capital of Texas Hwy
BLDG. One, Suite 500
West Lake Hills, TX 78746-6446
Phone (512) 402-6233

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
I20131216001225 TX Practitioner - Family Practice 6608003744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

13831 N US Hwy 183
Austin, TX 78750-1202
Phone (512) 250-0424

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7650TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care, P.a. Current Accepting new patients
American Current Care PA CurrentSince Feb 6, 2017 Accepting new patients
American Current Care P.a. CurrentSince Feb 6, 2017 Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

13831 N US Highway 183
Austin, TX 78750
Phone (512) 250-0424

2000 W Anderson Ln
Austin, TX 78757
Phone (512) 451-1668

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 3

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1740441104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG. ONE, SUITE 500",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466446",
            "telephone_number": "512-402-6233",
            "fax_number": "512-903-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG. ONE, SUITE 500",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466446",
            "telephone_number": "512-402-6233",
            "fax_number": "512-903-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "RAFAEL",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.