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ETHAN E DUBRAVSKY PA-C
NPI 1487186508
Physician Assistant - Medical in San Antonio, TX

Active since March 29, 2017PECOS Enrolled
89.44/100
CMS Quality Rating
2130 NE LOOP 410 STE 100, SAN ANTONIO, TX 78217(210) 656-7177(210) 656-3687 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2022, Jun 14, 2018, Apr 24, 2018 and 1 more (4 updates tracked since 2017).

About Ethan E Dubravsky Pa-c NPPES

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

ETHAN E DUBRAVSKY PA-C (NPI 1487186508) is an individual medical provider in San Antonio, Texas, licensed in Texas (PA11118) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487186508
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameETHAN E DUBRAVSKYCredential: PA-C
Location Address2130 NE LOOP 410 STE 100San Antonio, TX 78217-4660
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-0813
Phone(210) 656-7177
Fax(210) 656-3687
Sole ProprietorYes
Enumeration DateMarch 29, 2017
Last NPPES UpdateJuly 15, 20224 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1487186508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA11118
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA11118 (TX)
2130 NE LOOP 410 STE 100, San Antonio, TX 78217
Open in Google Maps ↗

Other Identifiers 1

Medicaid375669402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan E Dubravsky Pa-c 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.

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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 8

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

MRS. REBECCA MAY CLINTON LCSW
Social Worker
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
DR. TIMOTHY WAYNE DZIUK M.D.
Radiology (Radiation Oncology)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
REGINA ELIZA MORENO LCSW
Social Worker (Clinical)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 906-0514
DR. RACHEL ELLEN KACZYNSKI D.O.
Surgery (Surgical Oncology)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
CONNIE SUN WHEAT FNP
Nurse Practitioner (Family)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
DR. STUART SOLOMON WINKLER M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
SARANYA KODALI M.D.
Internal Medicine (Hematology & Oncology)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177
KRISHNA C ALLURI MD
Internal Medicine (Hematology & Oncology)
2130 NE LOOP 410 STE 100
SAN ANTONIO, TX 78217
Bexar County (210) 656-7177

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 Ethan Dubravsky's NPI number?

The NPI number for Ethan Dubravsky is 1487186508. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Ethan Dubravsky located?

Ethan Dubravsky practices at 2130 NE Loop 410 Ste 100, San Antonio, TX 78217. The listed phone number is (210) 656-7177.

What is Ethan Dubravsky's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ethan Dubravsky enrolled in Medicare?

Yes. Ethan Dubravsky is registered in the Medicare PECOS enrollment system.

What insurance does Ethan Dubravsky accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit and UnitedHealthcare list Ethan Dubravsky 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 Ethan Dubravsky was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.