Active NPI
Heather R. Riebel, MD
- Pediatrics Physician
- Boerne, TX
National Provider Identifier
1891999470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P4903
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314702703 | Medicaid | TX | |
| 3147027 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| P4903 | TX | MD | Pediatric Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Critical Care Specialists PLLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1598921223
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.