Individual provider Active NPI

Ronald Tyrus, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Spring, TX
National Provider Identifier
1295803682
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
N6735 Issued in TX
Practice address
6620 Cypresswood Dr
Suite 200
Spring, TX 77379-7748
Phone
(281) 477-8660
Fax
(281) 477-8662
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X G59115 CA
Neonatal-Perinatal Medicine Physician 2080N0001X N6735 TX Primary

Addresses

Primary practice location

6620 Cypresswood Dr
Suite 200
Spring, TX 77379-7748

Mailing address

6620 Cypresswood Dr
Suite 200
Spring, TX 77379-7748
Phone (281) 477-8660

Other identifiers 2

IdentifierTypeStateIssuer
212717702MedicaidTX
00G591150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59115CAMDNeonatal-Perinatal Medicine Physician
N6735TXMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1295803682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 CYPRESSWOOD DR",
            "address_2": "SUITE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797748",
            "telephone_number": "281-477-8660",
            "fax_number": "281-477-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 CYPRESSWOOD DR",
            "address_2": "SUITE 200",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797748",
            "telephone_number": "281-477-8660",
            "fax_number": "281-477-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRUS",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "G59115",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "N6735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212717702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G591150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.