Dr. Karla Renise Ivy, D.O.

Family Medicine in Jbsa Randolph, TX. Individual provider (NPI-1).

NPI number1780066035

StatusActive

Last updated in NPPESJun 24, 2022

Details

NPI: 1780066035
Entity type: Individual (NPI-1)
Name: Dr. Karla Renise Ivy
Credential: D.O.
Sex: Female
Sole proprietor: No
Enumeration date: Jun 23, 2015
Certification date: Jun 24, 2022
Last updated: Jun 24, 2022

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	1745	NE	Yes

Other names

Karla Renise Rinschen (Former Name)

Practice location

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800

Phone 210-652-5363

Mailing address

221 3rd St W Bldg 1040
Jbsa Randolph, TX 78150-4800

Phone 210-652-5363

Other practice locations

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Phone 210-652-5363

11130 Christus Hls Fl 3
San Antonio, TX 78251-3585

Phone 210-703-9001

Is something wrong?

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Other Family Medicine Physician providers in Jbsa Randolph, TX

All 10 Family Medicine Physician providers in Jbsa Randolph · All 78 providers in Jbsa Randolph

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