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ROSE CITY UROLOGY PLLC
NPI 1932887593
Urology in Tyler, TX

Active since July 05, 2023CLIA 45D2296177 · Waiver
4293 KINSEY DR, TYLER, TX 75703(318) 376-5030 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 19, 2026, Dec 15, 2025, Jul 5, 2023 (3 updates tracked since 2023).

About Rose City Urology Pllc NPPES

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

ROSE CITY UROLOGY PLLC (NPI 1932887593) is a healthcare organization registered as an urology in Tyler, Texas and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Ryan Webster Tubre, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1932887593
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameROSE CITY UROLOGY PLLC
Location Address4293 KINSEY DRTyler, TX 75703-1004
Mailing Address4293 Kinsey DrTyler, TX 75703-1004 · (903) 690-7775 · Fax (903) 690-7825
Phone(318) 376-5030
Organization SubpartNo
Authorized OfficialRyan Webster TubreMd/owner · (903) 690-7775
Enumeration DateJuly 5, 2023
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1932887593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4293 KINSEY DR, Tyler, TX 75703
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose City Urology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rose City Urology PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Tubre, M.D.
Urology
NPI 1821434630
4293 KINSEY DR
Tyler, TX 75703
(903) 690-7775
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2296177

Rose City Urology PLLC · Tyler, TX
Active · expires Dec 21, 2027
CLIA Number45D2296177
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorRyan W. Tubre
Laboratory Phone(903) 690-7775
Laboratory LocationRose City Urology PLLC4293 Kinsey Drive, Tyler, TX 75703
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rose City Urology PLLC's NPI number?

The NPI number for Rose City Urology PLLC is 1932887593. It was assigned to this organization in the NPPES registry on July 5, 2023.

Where is Rose City Urology PLLC located?

Rose City Urology PLLC is located at 4293 Kinsey Dr, Tyler, TX 75703. The listed phone number is (318) 376-5030.

What is Rose City Urology PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Rose City Urology PLLC enrolled in Medicare?

Yes. Rose City Urology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rose City Urology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Rose City Urology PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Rose City Urology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2296177) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Rose City Urology PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Rose City Urology PLLC 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 Rose City Urology PLLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.