Individual provider Active NPI

Daima Fanaka Ratcliff, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1548423205
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
N7481 Issued in TX
Practice address
17200 St Lukes Way
The Woodlands, TX 77384-8007
Phone
(936) 266-2000
NPI assigned
Jul 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X N7481 TX
Geriatric Medicine (Family Medicine) Physician 207QG0300X N7481 TX Primary

Addresses

Primary practice location

17200 St Lukes Way
The Woodlands, TX 77384-8007

Mailing address

17200 St Lukes Way
The Woodlands, TX 77384-8007
Phone (936) 266-2000

Other practice location 1

18648 McKay Dr Ste 220
Humble, TX 77338-5724
Phone (281) 548-1210

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
I20121018000324 TX Practitioner - Geriatric MedicinePractitioner - Family Practice 5092965509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
University of Texas Medical School at San Antonio, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

17200 St Luke's Way
The Woodlands, TX 77384-8007
Phone (713) 798-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7481TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Sep 17, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Hospitalist CurrentSince May 3, 2017 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Hospitalist CurrentSince Oct 1, 2018 Accepting new patients

Locations

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

21720 Kingsland Blvd
Ste 102
Katy, TX 77450
Phone (281) 412-0955

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6801 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-5095

17450 St Lukes Way
Ste 340
The Woodlands, TX 77384
Phone (936) 266-2645

17200 St Lukes Way
The Woodlands, TX 77384
Phone (936) 266-2008

Interoperability endpoints

  • Direct secure messaging: daima.ratcliff@nema220.eclinicaldirectplus.com

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.

Hospital & facility affiliations 5

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1548423205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 ST LUKES WAY",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848007",
            "telephone_number": "936-266-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18648 McKay Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773385724",
            "country_code": "US",
            "telephone_number": "281-548-1210",
            "fax_number": "281-548-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "DAIMA",
        "middle_name": "FANAKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N7481",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "N7481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.