Organization Active NPI

P Ronen MD PA

  • Obstetrics & Gynecology Physician
  • Houston, TX
National Provider Identifier
1508053810
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K3840 Issued in TX
Legal business name
P RONEN MD PA
Practice address
10565 Katy Fwy Ste 350
Houston, TX 77024-1018
Phone
(713) 722-7776
Fax
(713) 465-9718
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Dr. P F Ronen, MD
Title
President
Phone
(713) 722-7776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X K3840 TX Primary

Addresses

Primary practice location

10565 Katy Fwy Ste 350
Houston, TX 77024-1018

Mailing address

10565 Katy Fwy Ste 350
Houston, TX 77024-1018
Phone (713) 722-7776

Other identifiers 2

IdentifierTypeStateIssuer
0092QCOtherTXBLUE CROSS
113616004MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000541 TX Part B Supplier - Clinic/Group Practice 3870688104 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

10565 Katy Fwy
Ste 350
Houston, TX 77024
Phone (713) 464-4444

920 Frostwood Dr
Ste 530
Houston, TX 77024
Phone (713) 465-6448

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1508053810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241018",
            "telephone_number": "713-722-7776",
            "fax_number": "713-465-9718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10565 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241018",
            "telephone_number": "713-722-7776",
            "fax_number": "713-465-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P RONEN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "RONEN",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-722-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K3840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0092QC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113616004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.