Individual provider Active NPI

Ronald B. Tanaka, MD

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053617571
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2011-00553 Issued in NC
Practice address
5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831
Phone
(770) 874-5400
Fax
(678) 235-6787
NPI assigned
Jan 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2011-00553 NC Primary

Addresses

Primary practice location

5665 New Northside Dr NW
Suite 320
Atlanta, GA 30328-5831

Mailing address

3367 Renaissance Park PL
Cary, NC 27513-2279
Phone (808) 277-0267

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130812000029 TX Practitioner - Emergency Medicine 1254500473 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00553NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Apr 15, 2013 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 1, 2014 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince May 1, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
24 Hour Physicians, Inc Emergency Medicine CurrentSince Feb 20, 2018 Accepting new patients

Locations

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1053617571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3367 RENAISSANCE PARK PL",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275132279",
            "telephone_number": "808-277-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR NW",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400",
            "fax_number": "678-235-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "RONALD",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-31",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2011-00553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.