Individual provider Active NPI

Ralph George Menard Jr., MD

  • Interventional Pain Medicine Physician
  • Fredericksburg, TX
National Provider Identifier
1407876014
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
H5592 Issued in TX
Practice address
205 W Windcrest St Ste 350
Fredericksburg, TX 78624-4478
Phone
(830) 990-1404
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X H5592 TX Primary

Addresses

Primary practice location

205 W Windcrest St Ste 350
Fredericksburg, TX 78624-4478

Mailing address

205 W Windcrest St
Suite 130
Fredericksburg, TX 78624-4479

Other identifiers 5

IdentifierTypeStateIssuer
130355404MedicaidTX
050012360OtherMEDICARE RAILROAD BEFORE 5/27/08
00J04KOtherTXBLUE CROSS BLUE SHIELD
H5592OtherTXSTATE LICENSE NUMBER
P00473907OtherMEDICARE RAILROAD AFTER 5/27/08

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
I20040422001426 TX Practitioner - Interventional Pain ManagementPractitioner - Pain Management 4284620493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Medical College of Georgia School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Texas Physician Group PLLCGroup PAC ID 5890155592, 16 clinicians

Practice addresses (Care Compare)

205 W Windcrest St
Suite 130
Fredericksburg, TX 78624-4478
Phone (830) 990-1404

Hospital & facility affiliations

  • Hill Country Memorial Hospital Hospital, Fredericksburg, TX, CCN 450604
  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Merit-based Incentive Payment System (MIPS)

Final score
85.9 of 100Reported as individual
Quality
71.88
Promoting interoperability
100
Improvement activities
40
Cost
81.12

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Physician Group, PLLC CurrentSince May 6, 2023 Accepting new patients
Colvin Pain Management PLLC PastSince Jan 1, 2022 Accepting new patients
Hill Country Physicians Associates PastSince Jul 24, 2022 Accepting new patients

Locations

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

Interoperability endpoints

  • Direct secure messaging: ralph.menard@direct.myteamcare.com
  • Direct secure messaging: ralph.menard@hca7.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1407876014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST",
            "address_2": "SUITE 130",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W WINDCREST ST STE 350",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244478",
            "telephone_number": "830-990-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "RALPH",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "H5592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130355404",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD BEFORE 5/27/08",
            "identifier": "050012360",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00J04K",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "H5592",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD AFTER 5/27/08",
            "identifier": "P00473907",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.