DR. RUDOLPH M TOVAR MD
NPI 1790796662
Obstetrics & Gynecology in Lewisville, TX
About Dr. Rudolph M Tovar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUDOLPH M TOVAR MD (NPI 1790796662) is an individual obstetrics & gynecology provider in Lewisville, Texas, licensed in Texas (D9689) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Denton, and is a graduate of University Of Texas Medical Branch At Galveston (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
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. Rudolph M Tovar Md 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 Reassignments
2Medicare enrollment records show Rudolph Tovar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewisville, TX 75057
- Reassigned Medicare billing, Texas enrollment
- 8 clinicians in this Medicare group
Corpus Christi, TX 78411
- Reassigned Medicare billing, Texas enrollment
- 97 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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Denton
Acute Care Hospitals · Denton, TXMedical City Lewisville
Acute Care Hospitals · Lewisville, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEWISVILLE, TX 75057
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 Rudolph Tovar's NPI number?
The NPI number for Rudolph Tovar is 1790796662. It was assigned to this individual provider in the NPPES registry on August 10, 2006.
Where is Rudolph Tovar located?
Rudolph Tovar practices at 328 W Main St, Lewisville, TX 75057. The listed phone number is (972) 436-7557.
What is Rudolph Tovar's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Rudolph Tovar enrolled in Medicare?
Yes. Rudolph 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 Rudolph Tovar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Tovar reassigns Medicare benefits to 2 organizations: North Texas Ob Gyn Associates (Lewisville, TX) and Hca Houston Ob Hospitalist, PLLC (Corpus Christi, TX). 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 Rudolph Tovar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rudolph Tovar accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Rudolph 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.
Is Rudolph Tovar affiliated with any hospitals?
According to CMS data, Rudolph Tovar is affiliated with Medical City Denton and Medical City Lewisville.
When was this NPI record last updated?
The NPPES record for Rudolph Tovar was last updated on February 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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. Rudolph M Tovar, MD · NPI 1790796662
Obstetrics & Gynecology physician in Lewisville, Texas. Individual provider, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1790796662 (Entity type: Individual)
- **Enumerated:** August 10, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** D9689 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 328 W MAIN ST, Lewisville, TX 75057-3866
- **Phone:** (972) 436-7557 · **Fax:** (972) 221-8246
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): North Texas Ob Gyn Associates (NPI 1821280678, Lewisville, TX); Hca Houston Ob Hospitalist, PLLC (NPI 1144081431, Corpus Christi, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 1972
## Record status
- **NPPES last updated:** February 14, 2013
- **Other identifiers:** Other 8BJ297 (TX); Medicaid 046431502 (TX); Medicaid 046433101 (TX); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1790796662) · Data from the CMS NPPES public registry.