Individual provider Active NPI

Karina L Rubio, PA-C

  • Physician Assistant
  • San Antonio, TX
National Provider Identifier
1962916668
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11641 Issued in TX
Practice address
12020 Culebra Rd Ste 101
San Antonio, TX 78253-6478
Phone
(210) 436-8400
Fax
(833) 452-1052
NPI assigned
Nov 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11641 TX Primary

Addresses

Primary practice location

12020 Culebra Rd Ste 101
San Antonio, TX 78253-6478

Mailing address

12020 Culebra Rd Ste 101
San Antonio, TX 78253-6478
Phone (210) 436-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address karina.rubio.1@13711.direct.athenahealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171202000049 TX Practitioner - Physician Assistant 1759648504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ector County Hospital District CurrentSince Dec 1, 2017 Accepting new patients
Ector County Hospital District CurrentSince Dec 1, 2017 Accepting new patients
Ector County Hospital District Past Accepting new patients

Locations

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

840 W Clements St
Odessa, TX 79763
Phone (432) 333-3888

Interoperability endpoints

  • Direct secure messaging: karina.rubio.1@13711.direct.athenahealth.com

Organizations & group practices 3

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1962916668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 CULEBRA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536478",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 CULEBRA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536478",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "KARINA",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karina.rubio.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "12020 Culebra Rd Ste 101",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782536478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.