Individual provider Active NPI

Rubina A Heptulla, M.D.

  • Pediatric Endocrinology Physician
  • Houston, TX
National Provider Identifier
1942314836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
160630 Issued in MA
Practice address
Texas Children'S Hospital
6621 Fannin
Houston, TX 77030
Phone
(832) 824-1000
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 160630 MA Primary

Addresses

Primary practice location

Texas Children'S Hospital
6621 Fannin
Houston, TX 77030

Mailing address

4015 Marquette St
Houston, TX 77005-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100916000965 NY Practitioner - EndocrinologyPractitioner - Physical Medicine and RehabilitationPractitioner - Pediatric Medicine 8325163108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Pediatric Medicine, Physical Medicine and Rehabilitation
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rubina Heptulla Physician PLLCGroup PAC ID 3274880687, 4 clinicians
RH Medical PLLCGroup PAC ID 4385013416, 3 clinicians

Practice addresses (Care Compare)

1075 Central Park Ave
Suite 107
Scarsdale, NY 10583-3241
Phone (914) 472-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160630MAMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubina Heptulla Physician PLLC CurrentSince Jun 11, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Oct 21, 2017 Accepting new patients
RH Medical PLLC CurrentSince Oct 1, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Oct 21, 2017 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1075 Central Park Ave
Ste 107
Scarsdale, NY 10583
Phone (914) 266-2280

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942314836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 MARQUETTE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEXAS CHILDREN'S HOSPITAL",
            "address_2": "6621 FANNIN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "832-824-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPTULLA",
        "first_name": "RUBINA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "MA",
            "license": "160630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.