Individual provider Active NPI

Ramzi Khalil Deeik, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Santa Rosa, CA
National Provider Identifier
1093746182
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
V9471 Issued in TX
Practice address
500 Doyle Park Dr
Suite G-05
Santa Rosa, CA 95405-4558
Phone
(707) 255-8825
Fax
(707) 252-9325
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A79076 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 21703 ND
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X V9471 TX Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A79076 CA

Addresses

Primary practice location

500 Doyle Park Dr
Suite G-05
Santa Rosa, CA 95405-4558

Mailing address

PO Box 840026
Dallas, TX 75284-0026
Phone (806) 212-5079

Other practice location 1

1000 S Coulter St
Amarillo, TX 79106-1840
Phone (806) 212-6604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ND, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20120209000043 CA Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 3971508151 Reassigns benefits to 1 organization
I20250124001786 ND Practitioner - Thoracic Surgery 3971508151 Reassigns benefits to 1 organization
I20251103004075 TX Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 3971508151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Creighton University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians

Practice addresses (Care Compare)

1000 S Coulter St
Suite 100
Amarillo, TX 79106-1781
Phone (806) 212-4701

1111 Sonoma Ave
Suite 320
Santa Rosa, CA 95405-4820
Phone (707) 774-5158

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79076CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
21703NDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
V9471TXMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo Current Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 31, 2024 Accepting new patients
Bsa Physicians Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Dec 31, 2024 Accepting new patients
Bsa Physicians Group Inc CurrentSince Nov 1, 2025 Accepting new patients
Northern California Minimally Invasive Cardiovascular Surgery Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Dec 19, 2011 Accepting new patients
Napa Valley Cardiac and Thoracic Surgery, Incorporated Specialist PastSince Jul 1, 2005 Accepting new patients

Locations

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

1155 Trancas St
Napa, CA 94558
Phone (707) 252-4781

1111 Sonoma Ave
Ste 320
Santa Rosa, CA 95405
Phone (707) 544-1260

500 Doyle Park Dr
Ste G05
Santa Rosa, CA 95405
Phone (707) 576-7100

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

1000 S Coulter St
Amarillo, TX 79106
Phone (806) 353-6400

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1751 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2129

1000 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 212-4701

Organizations & group practices 7

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 7

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1093746182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-5079",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DR",
            "address_2": "SUITE G-05",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054558",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 S Coulter St",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061840",
            "country_code": "US",
            "telephone_number": "806-212-6604",
            "fax_number": "806-212-0355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEEIK",
        "first_name": "RAMZI",
        "middle_name": "KHALIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79076",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "ND",
            "license": "21703",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "V9471",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A79076",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.