MR. DENNIS MALATE REDUBLA
NPI 1053633206
Nurse Practitioner - Family in Clovis, CA

Active since February 15, 2010PECOS EnrolledAccepts Medicare Assignment
2131 HERNDON AVE STE 103, CLOVIS, CA 93611(559) 578-8844(559) 578-8899 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 12, 2025, Aug 8, 2025, Jun 30, 2016 (3 updates tracked since 2016).

About Mr. Dennis Malate Redubla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DENNIS MALATE REDUBLA (NPI 1053633206) is an individual family provider in Clovis, California, licensed in California (95004480) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053633206
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DENNIS MALATE REDUBLA
Location Address2131 HERNDON AVE STE 103Clovis, CA 93611-6304
Mailing Address685 W Alluvial Ave Ste 103Fresno, CA 93711-5779 · (559) 499-1233
Fax(559) 578-8899
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateFebruary 15, 2010
Last NPPES UpdateJune 25, 20263 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
NPI 1053633206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95004480
2131 HERNDON AVE STE 103, Clovis, CA 93611

Other Names 1

Professional Name (2)Dennis Malate Redubla Np

Secondary Practice Location 1

Location 13985 N Fresno St Ste 102Fresno, CA 93726-4000 · Phone (559) 500-0203 · Fax (559) 500-0220

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Dennis Malate Redubla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719271105
PECOS Enrollment IDI20160808001991
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
1,077 services165 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
592 services157 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
155 services85 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
78 services47 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
2 suppliers19 claims570 services$3.52 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
3 suppliers19 claims9,300 services$0.32 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,055 services$0.58 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$36.32 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier30 claims30 services$13.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2131 HERNDON AVE STE 103
CLOVIS, CA 93611
Nurse Practitioner (Family)
2131 HERNDON AVE STE 103
CLOVIS, CA 93611
Nurse Practitioner
2131 HERNDON AVE STE 103
CLOVIS, CA 93611
Nurse Practitioner
2131 HERNDON AVE STE 103
CLOVIS, CA 93611
Nurse Practitioner (Primary Care)
2131 HERNDON AVE STE 103
CLOVIS, CA 93611

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Redubla's NPI number?

The NPI number for Dennis Redubla is 1053633206. It was assigned to this individual provider in the NPPES registry on February 15, 2010. The provider is also known as Dennis Malate Redubla Np.

Where is Dennis Redubla located?

Dennis Redubla practices at 2131 Herndon Ave Ste 103, Clovis, CA 93611. The listed phone number is (559) 578-8844.

What is Dennis Redubla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dennis Redubla enrolled in Medicare?

Yes. Dennis Redubla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dennis Redubla was last updated on June 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.