Individual provider Active NPI

Jonathan Scott Ralston, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Dallas, TX
National Provider Identifier
1346404464
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
R4130 Issued in TX
Practice address
1355 River Bend Dr
Dallas, TX 75247-4915
Phone
(214) 237-1818
NPI assigned
Jul 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 247011 NY
Student in an Organized Health Care Education/Training Program 390200000X 247011 NY
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X R4130 TX Primary
Dermatopathology (Pathology) Physician 207ZD0900X R4130 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MMD.33015 TL SC

Addresses

Primary practice location

1355 River Bend Dr
Dallas, TX 75247-4915

Mailing address

PO Box 840294
Dallas, TX 75284-0294
Phone (888) 344-1160

Other practice location 1

1822 N Main St Ste 302
Fall River, MA 02720-1350
Phone (508) 235-1118

Other practice location 2

6655 N MacArthur Blvd
Irving, TX 75039-2443
Phone (214) 277-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100813000461 SC Practitioner - Pathology 7911031893 Reassigns benefits to 1 organization
I20170821000333 TX Practitioner - Pathology 7911031893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Louisville School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Propath Associates PLLCGroup PAC ID 6709844236, 41 clinicians

Practice addresses (Care Compare)

1355 River Bend Dr
Dallas, TX 75247-4915
Phone (214) 638-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MMD.33015 TLSCMDAnatomic Pathology & Clinical Pathology Physician
R4130TXMDAnatomic Pathology & Clinical Pathology Physician
247011NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Propath Associates, PLLC Anatomic Pathology & Clinical Pathology CurrentSince Sep 23, 2024 Accepting new patients
University Medical Associates of the Medical University of South Carol Anatomic Pathology & Clinical Pathology CurrentSince Jul 7, 2010 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Jul 7, 2010 Accepting new patients
Inform Diagnostics, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Metroplex Pathology Associates Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2017 Accepting new patients
New England Tissue Issue, PLLC Dermatopathology Past Accepting new patients

Locations

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

1355 River Bend Dr
Dallas, TX 75247
Phone (214) 237-1818

5400 Clearfork Main St
Fort Worth, TX 76109
Phone (817) 433-7000

6655 N MacArthur Blvd
Irving, TX 75039
Phone (214) 277-8700

713 E Anderson St
Weatherford, TX 76086
Phone (682) 582-1000

Organizations & group practices 6

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 1

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": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1346404464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840294",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840294",
            "telephone_number": "888-344-1160",
            "fax_number": "972-331-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVER BEND DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474915",
            "telephone_number": "214-237-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1822 N Main St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027201350",
            "country_code": "US",
            "telephone_number": "508-235-1118",
            "fax_number": "508-235-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6655 N MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392443",
            "country_code": "US",
            "telephone_number": "214-277-8700",
            "fax_number": "214-596-7484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "JONATHAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "247011",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "247011",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "R4130",
            "primary": true
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TX",
            "license": "R4130",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "MMD.33015 TL",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.