Organization Active NPI

Rose City Urology PLLC

  • Urology Physician
  • Tyler, TX
National Provider Identifier
1932887593
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ROSE CITY UROLOGY PLLC
Practice address
4293 Kinsey Dr
Tyler, TX 75703-1004
Phone
(318) 376-5030
NPI assigned
Jul 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Dr. Ryan Webster Tubre, MDNPI 1821434630
Title
MD/Owner
Phone
(903) 690-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4293 Kinsey Dr
Tyler, TX 75703-1004

Mailing address

4293 Kinsey Dr
Tyler, TX 75703-1004
Phone (903) 690-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230912000073 TX Part B Supplier - Clinic/Group Practice 6709240617 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2296177Rose City Urology PLLC4293 Kinsey Drive, Tyler, TX 75703Certificate of waiverDec 21, 2027

National Provider Directory

National Provider Directory

Locations

4293 Kinsey Dr
Tyler, TX 75703
Phone (903) 561-6308

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJJIDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1932887593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4293 KINSEY DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031004",
            "telephone_number": "903-690-7775",
            "fax_number": "903-690-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4293 KINSEY DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031004",
            "telephone_number": "318-376-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "TUBRE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WEBSTER",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "903-690-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.