Active NPI
Raymond Torrecampo, PA-C
- Medical Physician Assistant
- Conroe, TX
National Provider Identifier
1164052213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA14805
- Practice address
- 603 S Conroe Medical Dr Ste 140
Conroe, TX 77304-5395 - Phone
- (936) 978-0466
- Fax
- (936) 978-0469
- NPI assigned
- Jan 16, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA14805 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Medical Physician Assistant | 363AM0700X | PA14805 | TX | Primary |
Addresses
Primary practice location
603 S Conroe Medical Dr Ste 140
Conroe, TX 77304-5395
Mailing address
603 S Conroe Medical Dr Ste 140
Conroe, TX 77304-5395
Phone (936) 978-0466
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 S Conroe Medical Dr
Suite 140
Conroe, TX 77304-5395
Phone (936) 978-0466
Hospital & facility affiliations
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14805 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Care Providers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- rtorrecampo473927@memorialhermann.direct-ci.com
Organizations & group practices 3
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.
-
- Interventional Cardiology Physician
- Conroe, TX
- NPI 1518742121
-
- Community/Behavioral Health Agency
- El Paso, TX
- NPI 1093142325
-
- Specialist
- Houston, TX
- NPI 1437242617
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1164052213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 S CONROE MEDICAL DR STE 140",
"city": "CONROE",
"state": "TX",
"postal_code": "773045395",
"telephone_number": "936-978-0466",
"fax_number": "936-978-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 S CONROE MEDICAL DR STE 140",
"city": "CONROE",
"state": "TX",
"postal_code": "773045395",
"telephone_number": "936-978-0466",
"fax_number": "936-978-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRECAMPO",
"first_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-16",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14805",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA14805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.