Individual provider Active NPI

Ebony Rucker, M.D.

  • Emergency Medicine Physician
  • El Paso, TX
National Provider Identifier
1851602908
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N7482 Issued in TX
Practice address
5041 Alabama St
Apt. 161
El Paso, TX 79930-2633
Phone
(313) 942-5660
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X BP10032960 TX
Emergency Medicine Physician 207P00000X N7482 TX Primary

Addresses

Primary practice location

5041 Alabama St
Apt. 161
El Paso, TX 79930-2633

Mailing address

5041 Alabama St
Apt. 161
El Paso, TX 79930-2633
Phone (313) 942-5660

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
I20101202001316 TX Practitioner - Emergency Medicine 0840487864 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Brushy Creek Emergency PhysiciansGroup PAC ID 8729483854, 18 clinicians
Lake Travis Emergency Physicians PLLCGroup PAC ID 7315291929, 10 clinicians

Practice addresses (Care Compare)

230 Deer Ridge Dr
Round Rock, TX 78681-5515
Phone (512) 766-1400

5012 RM 620
Austin, TX 78732-1846
Phone (512) 851-1011

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10032960TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Emergency Medicine CurrentSince Jul 8, 2015 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Jul 8, 2015 Accepting new patients
Lake Travis Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 2, 2019 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Brushy Creek Emergency Physicians PLLC Emergency Medicine CurrentSince Oct 13, 2021 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 7, 2015 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 7, 2015 Accepting new patients
Brewster Emergency Medicine Associates PA Emergency Medicine CurrentSince Jun 1, 2012 Accepting new patients
Port Arthur Emergency Physicians Emergency Medicine Past Accepting new patients
Sidney Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

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

1401 E Trinity Mills Rd
Carrollton, TX 75006
Phone (972) 810-0700

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

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

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

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.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1851602908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 ALABAMA ST",
            "address_2": "APT. 161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302633",
            "telephone_number": "313-942-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 ALABAMA ST",
            "address_2": "APT. 161",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799302633",
            "telephone_number": "313-942-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "EBONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "BP10032960",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.