NPIMap

Individual provider Active NPI

Ryan David Wagner, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Cypress, TX
National Provider Identifier
1245692086
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
V2315 Issued in TX
Practice address
24510 Northwest Fwy Ste 630
Cypress, TX 77429-2199
Phone
(325) 333-7508
Fax
(832) 533-3751
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X V2315 TX
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X V2315 TX Primary

Addresses

Primary practice location

24510 Northwest Fwy Ste 630
Cypress, TX 77429-2199

Mailing address

24510 Northwest Fwy Ste 630
Cypress, TX 77429-2199
Phone (325) 333-7508

Other practice location 1

6560 Fannin St Ste 2200
Houston, TX 77030-2715
Phone (713) 441-6100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115003259 TX Practitioner - Plastic and Reconstructive Surgery 9133501547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMH Physicians and Surgeons, PLLCGroup PAC ID 1557586070, 29 clinicians

Practice addresses (Care Compare)

6560 Fannin St
Suite 2200
Houston, TX 77030-2715
Phone (713) 441-6106

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision15
Removal of tissue13
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V2315TXMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physicians and Surgeons, PLLC CurrentSince Nov 7, 2024 Accepting new patients
TMH Physician Organization Plastic Surgery Past Accepting new patients
Texas Children's Physician Group Past Accepting new patients
Methodist Radiology Associates, PLLC Past Accepting new patients

Locations

24510 Northwest Fwy
Ste 630
Cypress, TX 77429
Phone (325) 333-7508

6560 Fannin St
Ste 2200
Houston, TX 77030
Phone (713) 441-6106

Interoperability endpoints

  • Direct secure messaging: rwagner548578@directhoustonmethodist.org

Organizations & group practices 4

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 3

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1245692086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 NORTHWEST FWY STE 630",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292199",
            "telephone_number": "325-333-7508",
            "fax_number": "832-533-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24510 NORTHWEST FWY STE 630",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292199",
            "telephone_number": "325-333-7508",
            "fax_number": "832-533-3751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6560 Fannin St Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302715",
            "country_code": "US",
            "telephone_number": "713-441-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "V2315",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "TX",
            "license": "V2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.