Individual provider Active NPI

John A Ribeiro, MD

  • Orthopaedic Surgery Physician
  • Decatur, TX
National Provider Identifier
1245295732
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K7089 Issued in TX
Practice address
1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721
Phone
(940) 627-1770
Fax
(940) 627-2233
NPI assigned
Apr 19, 2006
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X K7089 TX Primary

Addresses

Primary practice location

1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721

Mailing address

1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721
Phone (940) 627-1770

Other identifiers 2

IdentifierTypeStateIssuer
030470103MedicaidTX
8CC361OtherTXBCBS

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
I20040430000171 TX Practitioner - Orthopedic Surgery 4385533181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

1101 W Eagle Dr
Suite B
Decatur, TX 76234-3721
Phone (940) 627-1770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.91 of 100Reported as individual
Quality
62.28
Improvement activities
40
Cost
80.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)30
Upper limb (arm) arthroscopy (minimally invasive joint repair)16
Melanoma (skin cancer) excision1-10
Removal of tissue22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7089TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedics of Irving PLLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

4343 N Josey Ln
Carrollton, TX 75010
Phone (972) 394-2280

1001 W Eagle Dr
Decatur, TX 76234
Phone (940) 627-7440

1101 W Eagle Dr
Ste B
Decatur, TX 76234
Phone 94030030542009

6800 N MacArthur Blvd
Irving, TX 75039
Phone (972) 969-2000

Interoperability endpoints

  • Direct secure messaging: john.ribeiro@hca7.eclinicaldirectplus.com

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1245295732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-627-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W EAGLE DR",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343721",
            "telephone_number": "940-627-1770",
            "fax_number": "940-627-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBEIRO",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K7089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030470103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CC361",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.