Individual provider Active NPI

Ricky Paul Ganim, M.D.

  • Interventional Cardiology Physician
  • Humble, TX
National Provider Identifier
1295843019
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
M1102 Issued in TX
Practice address
18450 Highway 59 N
Humble, TX 77338-4404
Phone
(281) 446-6656
Fax
(281) 446-6657
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X M1102 TX Primary
Cardiovascular Disease Physician 207RC0000X M1102 TX

Addresses

Primary practice location

18450 Highway 59 N
Humble, TX 77338-4404

Mailing address

18450 Highway 59 N
Humble, TX 77338-4404
Phone (281) 446-6656

Other identifiers 1

IdentifierTypeStateIssuer
174148001MedicaidTX

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
I20050629000975 TX Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 5395723332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Texas Medical School at Houston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Association, P.L.L.C.Group PAC ID 5294625042, 52 clinicians
Deerbrook Cath Lab LLCGroup PAC ID 2466717996, 2 clinicians

Practice addresses (Care Compare)

18450 Hwy 59 N
Humble, TX 77338-4404
Phone (281) 446-6656

18450 Hwy 59 N 101
Vital Heart and Vein Cath Lab
Humble, TX 77338-4404
Phone (281) 446-6656

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting27
Leg revascularization (restoring blood flow)38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1102TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Association, P.L.L.C Cardiovascular Disease CurrentSince Jul 1, 2005 Accepting new patients
Deerbrook ASC LLC CurrentSince Nov 15, 2017 Accepting new patients
Deerbrook Cath Lab LLC Interventional Cardiology CurrentSince Apr 1, 2018 Accepting new patients

Locations

6400 Fannin St
Ste 2210B
Houston, TX 77030
Phone (713) 796-9696

18450 Highway 59 N
Humble, TX 77338
Phone (281) 446-6566

18450 Highway 59 N
Ste 101
Humble, TX 77338
Phone 5123086342506

18450 Highway 59 N
Ste 101B
Humble, TX 77338
Phone (281) 572-0224

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1295843019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18450 HIGHWAY 59 N",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384404",
            "telephone_number": "281-446-6656",
            "fax_number": "281-446-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANIM",
        "first_name": "RICKY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "M1102",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M1102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174148001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.