ROSE CITY UROLOGY PLLC
NPI 1932887593
Urology in Tyler, TX

Q: 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.

Q: What is Rose City Urology PLLC's specialty?

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

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: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Jul 5, 2023 (2 updates tracked since 2023).

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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

Phone(318) 376-5030

Organization SubpartNo

Authorized OfficialRyan Webster TubreMd/owner · (903) 690-7775

Enumeration DateJuly 5, 2023

Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration

NPPES CertifiedDecember 15, 2025

✔ 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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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.

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.

EXPRESS HEALTH SYSTEMS

Family Medicine