Individual provider Active NPI

Heather R. Riebel, MD

  • Pediatrics Physician
  • Boerne, TX
National Provider Identifier
1891999470
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P4903 Issued in TX
Practice address
34910 Interstate 10 W Ste 501
Boerne, TX 78006-9230
Phone
(830) 484-6111
Fax
(830) 331-9806
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X P4903 TX
Pediatrics Physician 208000000X P4903 TX Primary

Addresses

Primary practice location

34910 Interstate 10 W Ste 501
Boerne, TX 78006-9230

Mailing address

8267 Pimlico LN
Boerne, TX 78015-4455
Phone (434) 981-3374

Other practice location 1

1434 E Sonterra Blvd
San Antonio, TX 78258-4971
Phone (210) 402-3456

Other practice location 2

1050 Hwy 16 S
Bandera, TX 78003
Phone (830) 796-7713

Other practice location 3

8267 Pimlico Ln
Boerne, TX 78015-4455
Phone (434) 981-3374

Other identifiers 2

IdentifierTypeStateIssuer
314702703MedicaidTX
3147027MedicaidTX

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
I20130403000059 TX Practitioner - Pediatric Medicine 1153566740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Texas Medical School at San Antonio, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Athens Family Medicine LLCGroup PAC ID 8729345681, 14 clinicians

Practice addresses (Care Compare)

1511 Bandera Rd
San Antonio, TX 78228-4006
Phone (210) 433-2334

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4903TXMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Critical Care Specialists PLLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.riebel.1@32578.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891999470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 PIMLICO LN",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780154455",
            "telephone_number": "434-981-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34910 INTERSTATE 10 W STE 501",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780069230",
            "telephone_number": "830-484-6111",
            "fax_number": "830-331-9806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1434 E Sonterra Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584971",
            "country_code": "US",
            "telephone_number": "210-402-3456",
            "fax_number": "210-402-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Hwy 16 S",
            "address_purpose": "LOCATION",
            "city": "Bandera",
            "state": "TX",
            "postal_code": "78003",
            "country_code": "US",
            "telephone_number": "830-796-7713",
            "fax_number": "830-796-7744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8267 Pimlico Ln",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780154455",
            "country_code": "US",
            "telephone_number": "434-981-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIEBEL",
        "first_name": "HEATHER",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "TX",
            "license": "P4903",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P4903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314702703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147027",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.