Individual provider Active NPI

Ivan Ranada, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1467796102
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08785 Issued in TX
Practice address
8100 Highway 6 N Ste E
Houston, TX 77095-1923
Phone
(281) 783-8162
Fax
(713) 439-7995
NPI assigned
Nov 19, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08785 TX Primary

Addresses

Primary practice location

8100 Highway 6 N Ste E
Houston, TX 77095-1923

Mailing address

16107 Kensington Dr Ste 126
Sugar Land, TX 77479-4224
Phone (281) 783-8162

Other practice location 1

8100 Highway 6 N
Suite E
Houston, TX 77095-1900
Phone (832) 304-2314

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
I20140826001384 TX Practitioner - Physician Assistant 8921226473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1717 W 34TH St
Houston, TX 77018-6256
Phone (281) 783-8162

4936 Beechnut St
Houston, TX 77096-1605
Phone (281) 783-8162

5211 FM 2920 Rd
Suite 101
Spring, TX 77388-3004
Phone (281) 783-8162

5749 San Felipe St
Houston, TX 77057-3101
Phone (281) 783-8162

7710 Garth Rd
Suite a
Baytown, TX 77521-8809
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08785TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jan 21, 2014 Accepting new patients
Next Level MV LLC CurrentSince Dec 1, 2017 Accepting new patients
Nluc PLLC Dba Next Level Urgent Care Past Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

8100 Highway 6 N
Ste E
Houston, TX 77095
Phone (832) 304-2314

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16107 Kensington Dr
Sugar Land, TX 77479
Phone (713) 513-7388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

16902 Southwest Fwy
Ste 108
Sugar Land, TX 77479
Phone (832) 342-9205

Organizations & group practices 4

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": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1467796102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16107 KENSINGTON DR STE 126",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794224",
            "telephone_number": "281-783-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 HIGHWAY 6 N STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951923",
            "telephone_number": "281-783-8162",
            "fax_number": "713-439-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Highway 6 N",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770951900",
            "country_code": "US",
            "telephone_number": "832-304-2314",
            "fax_number": "713-439-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANADA",
        "first_name": "IVAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-19",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.