Ruben Sandoval, M.D.
NPI 1205896164 · Gastroenterology Physician · Rockwall, TX
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ruben Sandoval, M.D. is a Gastroenterology Physician provider in Rockwall, TX (NPI 1205896164).
Provider details
- NPI number
- 1205896164
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- K0186 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
152 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 30 | $89 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 27 | $171 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $124 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 17 | $124 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 15 | $241 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 85 | 28 |
| Pantoprazole Sodium | 50 | 18 |
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 39 | 39 |
| Dicyclomine Hcl | 24 | 11 |
| Peg3350/Sod Sul/Nacl/Kcl/Asb/Cbrand: Plenvu | 15 | 15 |
| Colestipol Hcl | 14 | — |
| Cholestyramine (with Sugar)brand: Cholestyramine | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$472 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2020-02-04
- Certified
- 2020-02-04
Frequently asked questions
- What is Ruben Sandoval's NPI number?
- Ruben Sandoval's National Provider Identifier (NPI) is 1205896164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ruben Sandoval's specialty?
- Ruben Sandoval is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Ruben Sandoval located?
- Ruben Sandoval's practice location on file with NPPES is 3144 Horizon Rd Ste 210, Rockwall, TX 75032-7045.
- What is Ruben Sandoval's phone number?
- The practice phone number listed in the NPPES registry for Ruben Sandoval is (972) 771-2222.
- Does Ruben Sandoval accept Medicare?
- Ruben Sandoval is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ruben Sandoval's NPI active?
- Yes — Ruben Sandoval's NPI (1205896164) is active in the NPPES registry as of the last update on 2020-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.