Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. REUBEN WENCIS TOVAR M.D.
NPI 1174567705
Internal Medicine in Austin, TX

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
7500 RIALTO BLVD, SUITE 140, AUSTIN, TX 78735(512) 730-3058(888) 685-0677 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Nov 12, 2024, May 2, 2018 (3 updates tracked since 2018).

About Dr. Reuben Wencis Tovar M.d. NPPES

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

DR. REUBEN WENCIS TOVAR M.D. (NPI 1174567705) is an individual internal medicine provider in Austin, Texas, licensed in Idaho (M-14178) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Baylor College Of Medicine (1994).

NPPES Registry Identity

NPI1174567705
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. REUBEN WENCIS TOVARCredential: M.D.
Location Address7500 RIALTO BLVD, SUITE 140Austin, TX 78735
Mailing Address7500 Rialto Blvd, Suite 140Austin, TX 78735 · (512) 730-3058 · Fax (888) 685-0677
Fax(888) 685-0677
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1994
Enumeration DateJune 15, 2006
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1174567705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in ID · M-14178✔ Licensed in TX · J9928✔ Licensed in FL · ME114642✔ Licensed in RI · MD15177✔ Licensed in NC · 2022-00266
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License ME114642 (FL), 2022-00266 (NC), J9928 (TX)
7500 RIALTO BLVD, Austin, TX 78735

Secondary Practice Locations 2

Location 1825 Chalkstone AveProvidence, RI 02908-4728 · Phone (401) 456-2000
Location 2200 High Service AveNorth Providence, RI 02904-5113 · Phone (401) 456-3000

Other Identifiers 2

Medicaid104965202TX
Medicaid1049652-02TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Reuben Wencis Tovar M.d. 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 ID3577653534
PECOS Enrollment IDI20071214000476, I20211202001366
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Reuben Tovar reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Rhode Island and Texas enrollments
  • 16 clinicians in this Medicare group
Internal Medicine
7500 RIALTO BLVD STE 1-140
Austin, TX 78735
  • Reassigned Medicare billing, Texas enrollment
  • 80 clinicians in this Medicare group
Internal Medicine
8911 N CAPITAL OF TEXAS HWY STE 1110
Austin, TX 78759
  • Reassigned Medicare billing, Texas enrollment
  • 338 clinicians in this Medicare group
Internal Medicine
12042 BITTERN HOLW
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 43 clinicians in this Medicare group
Specialist
1315 ST JOSEPH PKWY STE 806
Houston, TX 77002
  • Reassigned Medicare billing, Texas enrollment
  • 127 clinicians in this Medicare group
Internal Medicine
1616 WELLERMAN RD
West Monroe, LA 71291
  • Reassigned Medicare billing, Louisiana enrollment
  • 56 clinicians in this Medicare group
Internal Medicine
1630 E PRIMROSE ST
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 18 clinicians in this Medicare group
Critical Care Medicine
615 N BONITA AVE
Panama City, FL 32401
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
Internal Medicine
1 SHIRCLIFF WAY
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 492 clinicians in this Medicare group
Hospitalist
3643 N ROXBORO ST FL 6
Durham, NC 27704
  • Reassigned Medicare billing, North Carolina enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
33 services30 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78735 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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 13

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$18.80 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier20 claims240 services$1.92 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier22 claims24 services$6.97 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier22 claims44 services$4.59 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$6.58 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier13 claims13 services$3.53 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 7

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

Point of Service
7500 RIALTO BLVD, BLDG 1 STE 250
AUSTIN, TX 78735
Physiological Laboratory
7500 RIALTO BLVD, SUITE 230
AUSTIN, TX 78735
Dietitian, Registered
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735
Durable Medical Equipment & Medical Supplies
7500 RIALTO BLVD, BLDG 2 STE 100
AUSTIN, TX 78735
Durable Medical Equipment & Medical Supplies
7500 RIALTO BLVD, BUILDING 2, SUITE 100
AUSTIN, TX 78735
Dietitian, Registered (Nutrition, Renal)
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735
Dietitian, Registered
7500 RIALTO BLVD, STE 250
AUSTIN, TX 78735

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 Reuben Tovar's NPI number?

The NPI number for Reuben Tovar is 1174567705. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Reuben Tovar located?

Reuben Tovar practices at 7500 Rialto Blvd Suite 140, Austin, TX 78735. The listed phone number is (512) 730-3058.

What is Reuben Tovar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Reuben Tovar enrolled in Medicare?

Yes. Reuben Tovar 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.

Which organizations bill Medicare for Reuben Tovar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Reuben Tovar reassigns Medicare benefits to 10 organizations: Hni Medical Services (Austin, TX), Hni Physician Services Of Texas, Inc (Austin, TX), Curana Health Medical Group LLC (Austin, TX), Hni Hospital Services Of Texas, Inc (Austin, TX), Sherman MD Provider Inc (Houston, TX) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Reuben Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Reuben Tovar accept?

Health plans from CareSource (Common Ground Healthcare) and Moda Health Plan, Inc. list Reuben Tovar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Reuben Tovar was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.