NPIMap

Individual provider Active NPI

Carri Rae Oubre, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1740714732
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
S2654 Issued in TX
Practice address
11503 NW Military Highway
Suite 202
San Antonio, TX 78231
Phone
(210) 233-6363
NPI assigned
Apr 17, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians Southwest PA 188 clinicians
Third Coast Emergency Physicians Southwest PA 38 clinicians

Practice addresses (Care Compare)

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-2000

4103 N Loop 1604
San Antonio, TX 78249-1395
Phone (210) 572-8415

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Baptist Neighborhood Hospital Thousand Oaks Hospital, San Antonio, TX, CCN 670078

Merit-based Incentive Payment System (MIPS)

Final score
93.86 of 100Reported as group
Quality
92.78
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, LA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190910001201 TX Practitioner - Emergency Medicine 2668701004 Reassigns benefits to 7 organizations
I20210813002655 CA Practitioner - Emergency Medicine 2668701004 Reassigns benefits to 1 organization
I20251020001701 LA Practitioner - Emergency Medicine 2668701004 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S2654TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince May 12, 2021 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince May 12, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Jul 8, 2019 Accepting new patients
Third Coast Emergency Physicians Southwest PA Emergency Medicine CurrentSince Nov 28, 2023 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Jul 8, 2019 Accepting new patients
Parish State Emergency Physicians LLC Emergency Medicine CurrentSince Aug 9, 2025 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 9, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Hospital Medicine Services of TX, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Greater San Antonio Emergency Physicians, PA Emergency Medicine PastSince Feb 26, 2023 Accepting new patients

Locations (25 of 34)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

250 Hospital Pkwy
San Jose, CA 95119
Phone (408) 972-6320

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

12141 Richmond Ave
Houston, TX 77082
Phone (281) 558-3444

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

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • Direct secure messaging: coubre913880@ahs.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X S2654 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

11503 NW Military Highway
Suite 202
San Antonio, TX 78231

Mailing address

12790 FM 1560 N
PO Box 1192
Helotes, TX 78023-9998
Phone (408) 912-0657

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 24, 2023.

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1740714732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12790 FM 1560 N",
            "address_2": "PO BOX 1192",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780239998",
            "telephone_number": "408-912-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 NW MILITARY HIGHWAY",
            "address_2": "SUITE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78231",
            "telephone_number": "210-233-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUBRE",
        "first_name": "CARRI",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S2654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "250 Hospital Pkwy",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951191103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.