Active NPI
Ronald Wayne Killam, MD
- Internal Medicine Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H5715
- Practice address
- 11110 East Fwy Ste 100a
Houston, TX 77029-1914 - Phone
- (713) 330-0766
- Fax
- (877) 862-8370
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H5715 | TX | Primary |
Addresses
Primary practice location
11110 East Fwy Ste 100a
Houston, TX 77029-1914
Mailing address
PO Box 96706
Houston, TX 77213-6706
Phone (713) 330-0766
Other practice location 1
11821 East Fwy Ste 175
Houston, TX 77029-1960
Phone (713) 330-0766
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111525501 | Medicaid | TX | |
| 111525504 | Medicaid | TX | |
| 810621291 | Other | TX | TAX IDENTIFICATION |
| 8Z1542 | Other | TX | BLUECROSS BLUESHIELD |
| 111525505 | Medicaid | TX | |
| 460986471 | Other | TX | TAX IDENTIFICATION |
| 8K3280 | Other | TX | BLUE CROSS SHIELD |
| 1518219104 | Other | TX | GROUP NPI |
| 00511B | Other | TX | BLUECROSS BLUESHIELD |
| 10014941 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at Houston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11110 E Fwy
Suite 100a
Houston, TX 77029-1914
Phone (713) 330-0766
Hospital & facility affiliations
- Ipr Healthcare Systems, Inc
- Harbor Hospice of Baytown LP
- St Luke'S Patients Medical Center
- Baylor St Lukes Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5715 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Houston Physicians Group, PA | Internal Medicine | Current | Accepting new patients |
| Doc on the Bay Associated Enterprises Incorporated | Internal Medicine | Past | Accepting new patients |
| PMC Hospital, LLC | Past | Accepting new patients | |
| Chca Bayshore LP | Past | Accepting new patients |
Locations
11110 East Fwy
Ste 100A
Houston, TX 77029
Phone (713) 330-0766
11821 I 10 East Fwy
Ste 175
Houston, TX 77029
Phone (713) 330-0766
13111 East Fwy
Ste 303
Houston, TX 77015
Phone (281) 768-7672
Networks
- TX HMO
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- easthoustonmd@ehpg-tx.direct.office.nextgen.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1518219104
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1174576698
-
- Internal Medicine Physician
- Channelview, TX
- NPI 1285763268
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1407990088
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1184622847
-
- Community Based Hospice Care Agency
- Baytown, TX
- NPI 1457507444
-
- Home Health Agency
- Houston, TX
- NPI 1730255001
-
- General Acute Care Hospital
- Pasadena, TX
- NPI 1407990088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1013960228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96706",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772136706",
"telephone_number": "713-330-0766",
"fax_number": "877-862-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 EAST FWY STE 100A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770291914",
"telephone_number": "713-330-0766",
"fax_number": "877-862-8370"
}
],
"practiceLocations": [
{
"address_1": "11821 East Fwy Ste 175",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770291960",
"country_code": "US",
"telephone_number": "713-330-0766",
"fax_number": "877-862-8370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLAM",
"first_name": "RONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H5715",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111525501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111525504",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "810621291",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "8Z1542",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "111525505",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION",
"identifier": "460986471",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "8K3280",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1518219104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "00511B",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10014941",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.