SALMIN ROEBUCK (PA) – Physician Assistant, NPI 1013650290

SALMIN ROEBUCK (PA) is a healthcare provider. based in Austin, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 740462 (TX). The NPI Number for SALMIN ROEBUCK (PA) is 1013650290

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SALMIN ROEBUCK (PA)
NPI
1013650290
Phone
(234) 360-2237
Address
6300 LA CALMA DR STE 200
Enumeration Date
15 April 2022
Last Update Date
15 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5052874446
Graduation Year
2021 (5 years ago)
PAC ID
9436538261
Group Practice PAC ID
8123473626
Professional Enrollment ID
I20260107002757
Address ID
KY442401965HO320XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for SALMIN ROEBUCK (PA)

  • 6300 LA CALMA DR STE 200

    AUSTIN, TX 787523825

    Phone: (234) 360-2237

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220623003469IPhysician AssistantTXTBD
I20241011000758IPhysician AssistantTNTBD
I20260107002757IPhysician AssistantKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making5755$0
99285Emergency department visit with high level of medical decision making4444$0
View full utilization report →

Insurance plans in this area (ZIP 78752)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123473626View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Nurse PractitionerTN
Family PracticeOH
Family Practice, Emergency MedicineMO
Emergency MedicineTN
Emergency MedicineTN
Nurse PractitionerSC
Nurse PractitionerTN
Family PracticePA
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the standard ID for SALMIN ROEBUCK (PA) in the U.S.?
In the U.S., SALMIN ROEBUCK (PA) is identified by NPI 1013650290.
Is SALMIN ROEBUCK (PA) currently accepting referrals based on NPI status?
Registry metadata lists SALMIN ROEBUCK (PA) as active.
What services align with SALMIN ROEBUCK (PA)'s listing?
SALMIN ROEBUCK (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to SALMIN ROEBUCK (PA)?
The directory associates SALMIN ROEBUCK (PA) with Austin, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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