Individual provider Active NPI

James Ronk, AGNP-C

  • Gerontology Nurse Practitioner
  • Houston, TX
National Provider Identifier
1396450425
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1107541 Issued in TX
Practice address
1244 Uvalde Rd
Houston, TX 77015-3708
Phone
(281) 707-7354
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1107547 TX
Gerontology Nurse Practitioner 363LG0600X 1107541 TX Primary

Addresses

Primary practice location

1244 Uvalde Rd
Houston, TX 77015-3708

Mailing address

5000 Montrose Blvd Unit 18C
Houston, TX 77006-6563
Phone (205) 245-3411

Other practice location 1

5000 Montrose Blvd Unit 18C
Houston, TX 77006-6563
Phone (205) 245-3411

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240227001989 TX Practitioner - Nurse Practitioner 3779928023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health of Texas PLLCGroup PAC ID 2163843038, 103 clinicians

Practice addresses (Care Compare)

1244 Uvalde Rd
Houston, TX 77015-3708
Phone (281) 707-7354

3500 Little York Rd
A 5
Houston, TX 77093-3658
Phone (281) 707-7358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1107541TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health of Texas, PLLC CurrentSince Mar 18, 2024 Accepting new patients

Locations

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

1244 Uvalde Rd
Houston, TX 77015
Phone (281) 616-3474

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1396450425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 MONTROSE BLVD UNIT 18C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066563",
            "telephone_number": "205-245-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 UVALDE RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153708",
            "telephone_number": "281-707-7354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Montrose Blvd Unit 18C",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770066563",
            "country_code": "US",
            "telephone_number": "205-245-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONK",
        "first_name": "JAMES",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1107547",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1107541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.