NPIMap

Individual provider Active NPI

Ryan S Bellaw, PA-C

  • Physician Assistant
  • Mount Pleasant, TX
National Provider Identifier
1215065917
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14528 Issued in TX
Practice address
2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453
Phone
(903) 577-9355
Fax
(903) 434-7039
NPI assigned
Mar 2, 2007
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14528 TX Primary

Addresses

Primary practice location

2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453

Mailing address

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071227000520 NC Practitioner - Physician Assistant 4789675828 Reassigns benefits to 1 organization
I20210505002610 TX Practitioner - Physician Assistant 4789675828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Titus County Hospital DistrictGroup PAC ID 0143203257, 107 clinicians

Practice addresses (Care Compare)

1610 S Jefferson Ave
Mount Pleasant, TX 75455-5614
Phone (903) 577-2273

2001 N Jefferson
Mount Pleasant, TX 75455-2371

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338

2320 Harts Bluff Rd
Mount Pleasant, TX 75455-7453
Phone (903) 577-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1005NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Titus County Hospital District CurrentSince May 15, 2021 Accepting new patients
Titus County Hospital District CurrentSince May 15, 2021 Accepting new patients
Titus County Hospital District Past Accepting new patients
Titus County Hospital District Past Accepting new patients

Locations

1610 S Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 572-2273

2001 N Jefferson Ave
Mt Pleasant, TX 75455
Phone (903) 434-8044

2320 Harts Bluff Rd
Mt Pleasant, TX 75455
Phone (903) 434-7068

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1215065917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N JEFFERSON AVE",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754552338",
            "telephone_number": "903-577-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 HARTS BLUFF RD",
            "city": "MOUNT PLEASANT",
            "state": "TX",
            "postal_code": "754557453",
            "telephone_number": "903-577-9355",
            "fax_number": "903-434-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAW",
        "first_name": "RYAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, TX

Sources for this page

Verify at the official NPI Registry.