DR. RUBEN ERNESTO SANDOVAL M.D.
NPI 1205896164
Internal Medicine - Gastroenterology in Rockwall, TX

Q: 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.

Q: What is Ruben Sandoval's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ruben Sandoval was last updated on February 4, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 24, 2006PECOS Enrolled

79.87/100

CMS Quality Rating

3144 HORIZON RD STE 210, ROCKWALL, TX 75032(972) 771-2222(972) 771-3350 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 4, 2020, Aug 30, 2018, Mar 31, 2017 and 1 more (4 updates tracked since 2016).

On this page

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.

NPPES Registry Identity

NPI1205896164

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. RUBEN ERNESTO SANDOVALCredential: M.D.

Location Address3144 HORIZON RD STE 210Rockwall, TX 75032-7045

Mailing Address7610 N Stemmons Fwy Ste 600Dallas, TX 75247-4228 · (214) 689-5960 · Fax (469) 713-8084

Phone(972) 771-2222

Fax(972) 771-3350

Sole ProprietorNo

Enumeration DateMarch 24, 2006

Last NPPES UpdateFebruary 4, 20204 updates tracked since enumeration

✔ NPI 1205896164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · K0186

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

3144 HORIZON RD STE 210, Rockwall, TX 75032

Open in Google Maps ↗

Other Identifiers 2

Other85Y151TX · Bcbstx

Medicaid044505801TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruben Ernesto Sandoval M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

30 services30 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

27 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

17 services17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

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.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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.

79.87/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

Leave this field empty

Other Providers at the Same Location NPPES 14

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

MASHAER SUNBUL RAJAN

Physician Assistant (Medical)