EDITH G RUMBAUT MD
NPI 1255427431
Physical Medicine & Rehabilitation in Houston, TX
NPI Status: Active since October 05, 2006
Contact Information
7401 MAIN ST
HOUSTON, TX
ZIP 77030
Phone: (713) 799-2300
Fax: (713) 794-3380
- Individual
- Female
- Physical Medicine & Rehabilitation
- Medicare Quality Reporting
About EDITH RUMBAUT
This page provides the complete NPI Profile along with additional information for Edith Rumbaut, a provider established in Houston, Texas with a medical specialization in Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1255427431 assigned on October 2006. The practitioner's primary taxonomy code is 208100000X with license number L1992 (TX). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1255427431
- Provider Name
- EDITH G RUMBAUT MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 7401 MAIN ST HOUSTON, TX 77030
- Location Phone
- (713) 799-2300
- Location Fax
- (713) 794-3380
- Mailing Address
- 7401 MAIN ST HOUSTON, TX 77030
- Mailing Phone
- (713) 799-2300
- Mailing Fax
- (713) 794-3380
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 04-04-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L1992
- License State
- TX
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8D4166 | MEDICARE PIN (08) | TX | |
| 8514B5 | MEDICARE PIN (08) | TX | |
| 8510B3 | MEDICARE PIN (08) | TX | |
| 8386B7 | MEDICARE PIN (08) | TX |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 85% | 73 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of patients through implementation of improvements in patient portal | Yes | N/A |
| Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence. | ||
| e-Prescribing | 89% | 37 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Improved Practices that Engage Patients Pre-Visit | Yes | N/A |
| Implementation of workflow changes that engage patients prior to the visit, such as a pre-visit development of a shared visit agenda with the patient, or targeted pre-visit laboratory testing that will be resulted and available to the MIPS eligible clinician to review and discuss during the patient’s appointment.. | ||
| Medication Reconciliation | 80% | 20 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 4% | 50 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 33% | 48 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 56% | 50 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 66% | 50 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
Reviews for EDITH G RUMBAUT MD
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 2 | 7 | 4 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 2 | 14 | 4 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 2 + 1 + 4 + 4 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1255427431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194713784 | HOWARD R EPPS M.D. Individual | Orthopaedic Surgery | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1821086414 | GARY M GARTSMAN M.D. Individual | Orthopaedic Surgery | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1730177320 | JOSEPH J GUGENHEIM M.D. Individual | Orthopaedic Surgery | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1487642898 | DR. JEFFREY A KOZAK Individual | Orthopaedic Surgery | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1528056959 | DR. JAY C OATES Individual | Orthopaedic Surgery (Foot and Ankle Surgery) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1023006491 | DR. DAVID W WIMBERLEY Individual | Orthopaedic Surgery | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1013907278 | SUSAN BALL R.N. Individual | Registered Nurse | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1437149697 | JOE KELLY O.P.A.C.,CST/FA Individual | Physician Assistant (Surgical) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1457341612 | MEREDITH PIERCE R.N.F.A.,C.N.O.R. Individual | Registered Nurse (Orthopedic) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1265416978 | BAYLOR COLLEGE OF MEDICINE Organization | Clinical Medical Laboratory | 7401 MAIN ST HOUSTON, TX 77030 (713) 794-3513 |
| 1922063767 | JERMAINE MCNEAL CST Individual | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 | |
| 1568408631 | MR. MARK ROBERT HORNICK PT Individual | Physical Therapist | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1205856994 | DANIEL P O'CONNOR L.A.T., A.T.C. Individual | Specialist (Research Study) | 7401 MAIN ST HOUSTON, TX 77030 (713) 794-3517 |
| 1346438058 | MARION BAXTER THURMOND RN Individual | Registered Nurse | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1093781973 | MS. LISA DANIELLE WILSFORD PA-C Individual | Physician Assistant | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1366803199 | EXCELLENCE IN RHEUMATOLOGY, PA Organization | Internal Medicine (Rheumatology) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1215984240 | ORTHOPEDIC HOSPITAL, LTD. Organization | Clinic/Center (Ambulatory Surgical) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-8600 |
| 1255460325 | ORTHOPEDIC HOSPITAL, LTD. Organization | General Acute Care Hospital | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-8600 |
| 1366430688 | GEORGE WILLIAM WOODS M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
| 1548250707 | MR. JIMMIE E. EDMONDS LSA, OPAC Individual | Specialist/Technologist, Other (Surgical Assistant) | 7401 MAIN ST HOUSTON, TX 77030 (713) 799-2300 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255427431, enumerated in the NPI registry as an "individual" on October 05, 2006
The provider is located at 7401 Main St Houston, Tx 77030 and the phone number is (713) 799-2300
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.