Active NPI
Ryan Joseph Comeaux, MPAS, PA-C
- Physician Assistant
- Kingwood, TX
National Provider Identifier
1154981629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA13402
- Practice address
- 5322 Sycamore Creek Dr
Kingwood, TX 77345-1462 - Phone
- (281) 221-4360
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA13402 | TX | Primary |
Addresses
Primary practice location
5322 Sycamore Creek Dr
Kingwood, TX 77345-1462
Mailing address
1699 Hermann Dr Unit 3125
Houston, TX 77004-8133
Phone (281) 221-4360
Other practice location 1
1515 Holcombe Blvd
Houston, TX 77030-4000
Phone (832) 729-3020
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697155200000",
"number": "1154981629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1699 HERMANN DR UNIT 3125",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770048133",
"telephone_number": "281-221-4360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5322 SYCAMORE CREEK DR",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773451462",
"telephone_number": "281-221-4360"
}
],
"practiceLocations": [
{
"address_1": "1515 Holcombe Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770304000",
"country_code": "US",
"telephone_number": "832-729-3020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMEAUX",
"first_name": "RYAN",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "MPAS, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2023-10-13",
"certification_date": "2023-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA13402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingwood, TX
- Tamia Jada Coleman
- Collaborative Counseling of Kingwood
- James Walter Collins III, MSN-FNP
- Jennifer Collins, MSW, MA, BCBA
- Marisa Comalander, FNP-C
- Comfort Drips IV Therapy& Infusions, PLLC
- Compass Point Emergency Physicians, PLLC
- Compass Point Emergency Physicians, PLLC
- Compassion in Heart
- Compassitant Companion Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.