Individual provider Active NPI

Ramon Larod Kinloch, MD

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1447541693
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
Q2916 Issued in TX
Practice address
3200 Riverfront Dr
Suite 103
Fort Worth, TX 76107-6570
Phone
(817) 336-3800
Fax
(817) 335-9454
NPI assigned
Apr 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 173024 NC
Pediatrics Physician 208000000X Q2916 TX Primary

Addresses

Primary practice location

3200 Riverfront Dr
Suite 103
Fort Worth, TX 76107-6570

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-1855

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkinloch14885@CookChildrens.direct-ci.com

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
I20170124000822 TX Practitioner - Pediatric Medicine 8527340710 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2916TXMDPediatrics Physician
173024NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics CurrentSince Jan 5, 2017 Accepting new patients
Cook Children's Physician Network Pediatrics CurrentSince Jan 5, 2017 Accepting new patients
Cook Children's Medical Center Past Accepting new patients

Locations

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

3200 Riverfront Dr
Ste 103
Ft Worth, TX 76107
Phone (817) 336-3800

Interoperability endpoints

  • Direct secure messaging: rkinloch14885@cookchildrens.direct-ci.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, 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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1447541693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 RIVERFRONT DR",
            "address_2": "SUITE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076570",
            "telephone_number": "817-336-3800",
            "fax_number": "817-335-9454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLOCH",
        "first_name": "RAMON",
        "middle_name": "LAROD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "173024",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q2916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkinloch14885@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "3200 Riverfront Dr",
            "address_2": "SUITE 103",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761076570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.