Individual provider Active NPI

Ricardo Grillo-Paris, M.D.

  • Pediatrics Physician
  • Houston, TX
National Provider Identifier
1316984735
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D9466 Issued in TX
Practice address
2028 Wirt Rd
Houston, TX 77055-1602
Phone
(713) 682-7066
Fax
(713) 682-1505
NPI assigned
Jun 2, 2006
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D9466 TX Primary

Addresses

Primary practice location

2028 Wirt Rd
Houston, TX 77055-1602

Mailing address

2028 Wirt Rd
Houston, TX 77055-1602
Phone (713) 682-7066

Other identifiers 3

IdentifierTypeStateIssuer
100786603MedicaidTX
742877MedicaidTX
100786602MedicaidTX

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
I20181213001199 TX Practitioner - Pediatric Medicine 1052656410 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Hispana, P.a. Pediatrics CurrentSince Oct 29, 2018 Accepting new patients

Locations

2028 Wirt Rd
Houston, TX 77055
Phone (713) 682-7066

Interoperability endpoints

  • Direct secure messaging: rgrillo@1770.securemail.prognocis.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1316984735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551602",
            "telephone_number": "713-682-7066",
            "fax_number": "832-916-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551602",
            "telephone_number": "713-682-7066",
            "fax_number": "713-682-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO-PARIS",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D9466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100786603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "742877",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100786602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.