DR. RUBEN ERNESTO SANDOVAL M.D.
NPI 1205896164
Internal Medicine - Gastroenterology in Rockwall, TX
About Dr. Ruben Ernesto Sandoval M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUBEN ERNESTO SANDOVAL M.D. (NPI 1205896164) is an individual gastroenterology provider in Rockwall, Texas, licensed in Texas (K0186) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Ruben Ernesto Sandoval 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.
Medicare Billing Reassignment
Medicare enrollment records show Ruben Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Irving, TX 75039
- Reassigned Medicare billing, Texas enrollment
- 575 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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROCKWALL, TX 75032
ROCKWALL, TX 75032
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 Ruben Sandoval's NPI number?
The NPI number for Ruben Sandoval is 1205896164. It was assigned to this individual provider in the NPPES registry on March 24, 2006.
Where is Ruben Sandoval located?
Ruben Sandoval practices at 3144 Horizon Rd Ste 210, Rockwall, TX 75032. The listed phone number is (972) 771-2222.
What is Ruben Sandoval's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Ruben Sandoval enrolled in Medicare?
Yes. Ruben Sandoval 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 organization bills Medicare for Ruben Sandoval's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ruben Sandoval reassigns Medicare benefits to Texas Digestive Disease Consultants, PLLC (Irving, TX). The 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 Ruben Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ruben Sandoval was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Dr. Ruben Ernesto Sandoval, M.D. · NPI 1205896164
Gastroenterology physician in Rockwall, Texas. Individual provider, active in the CMS NPPES registry since March 24, 2006.
## Identity
- **NPI:** 1205896164 (Entity type: Individual)
- **Enumerated:** March 24, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** K0186 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 3144 HORIZON RD STE 210, Rockwall, TX 75032-7045
- **Phone:** (972) 771-2222 · **Fax:** (972) 771-3350
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Texas Digestive Disease Consultants, PLLC (NPI 1053397331, Irving, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 1990
## Record status
- **NPPES last updated:** February 4, 2020
- **Other identifiers:** Other 85Y151 (TX); Medicaid 044505801 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1205896164) · Data from the CMS NPPES public registry.