FRANK J RUBALCAVA MD
NPI 1851387070
Internal Medicine - Cardiovascular Disease in New Braunfels, TX

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
1626 E COMMON ST, NEW BRAUNFELS, TX 78130(830) 620-1272(830) 620-1274 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frank J Rubalcava Md NPPES

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

FRANK J RUBALCAVA MD (NPI 1851387070) is an individual cardiovascular disease provider in New Braunfels, Texas, licensed in Texas (H8956) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of University Of Utah School Of Medicine (1988).

NPPES Registry Identity

NPI1851387070
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameFRANK J RUBALCAVACredential: MD
Location Address1626 E COMMON STNew Braunfels, TX 78130-3156
Mailing Address1626 E Common StNew Braunfels, TX 78130-3156 · (830) 620-1272 · Fax (830) 620-1274
Fax(830) 620-1274
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1988
Enumeration DateSeptember 22, 2005
Last NPPES UpdateSeptember 6, 2012
NPI 1851387070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · H8956
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1626 E COMMON ST, New Braunfels, TX 78130

Other Identifiers 3

Medicare PIN84140JTX
Medicaid125460902TX
Medicare UPINE86833

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Frank J Rubalcava 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.

PECOS PAC ID3173515186
PECOS Enrollment IDI20100827000115
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 32

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
814 services635 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
697 services532 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
541 services442 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
516 services129 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
412 services193 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.
390 services309 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450058
Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County
Emergency services Birthing friendly

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number450104
Location1215 E Court StSeguin, TX 78155 · Guadalupe County
Emergency services Birthing friendly

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Resolute Health Hospital

Acute Care Hospitals · New Braunfels, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number670098
Location555 Creekside Xing,New Braunfels, TX 78130 · Comal County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78130 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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Practitioner
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Nurse Practitioner (Family)
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Physician Assistant (Medical)
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Internal Medicine (Cardiovascular Disease)
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Internal Medicine (Cardiovascular Disease)
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Internal Medicine (Cardiovascular Disease)
1626 E COMMON ST
NEW BRAUNFELS, TX 78130
Nurse Practitioner
1626 E COMMON ST
NEW BRAUNFELS, TX 78130

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 Frank Rubalcava's NPI number?

The NPI number for Frank Rubalcava is 1851387070. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Frank Rubalcava located?

Frank Rubalcava practices at 1626 E Common St, New Braunfels, TX 78130. The listed phone number is (830) 620-1272.

What is Frank Rubalcava's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Frank Rubalcava enrolled in Medicare?

Yes. Frank Rubalcava 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.

What insurance does Frank Rubalcava accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Frank Rubalcava 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 Frank Rubalcava affiliated with any hospitals?

According to CMS data, Frank Rubalcava is affiliated with Baptist Medical Center, Guadalupe Regional Medical Center, Christus Santa Rosa Hospital-San Marcos and Resolute Health Hospital.

When was this NPI record last updated?

The NPPES record for Frank Rubalcava was last updated on September 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.