NPIMap

Organization Active NPI

Ronald N Skufca DO PA

Doing business as Healthcare Clinics

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1558433250
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RONALD N SKUFCA DO PA
Doing business as
Healthcare Clinics
Practice address
5315 Ross Ave
Dallas, TX 75206-7418
Phone
(214) 826-2151
Fax
(214) 826-2639
NPI assigned
Nov 15, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
RONALD N SKUFCA, DO PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Ronald Norton Skufca, DONPI 1609877612
Title
Medical Director
Phone
(214) 826-2151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

5315 Ross Ave
Dallas, TX 75206-7418

Mailing address

5315 Ross Ave
Dallas, TX 75206-7418
Phone (214) 826-2151

Other identifiers 2

IdentifierTypeStateIssuer
158302302MedicaidTX
158302301MedicaidTX

Other names 1

  • HEALTHCARE CLINICS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001471 TX Part B Supplier - Clinic/Group Practice 8224009204 Receives reassigned benefits from 23 practitioners
Practice locations: Dallas, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0859832Healthcare Clinics5315 Ross Avenue, Dallas, TX 75206AccreditationDec 22, 2027

National Provider Directory

National Provider Directory
Part of
Ronald N Skufca DO PA

Locations

5303 Ross Ave
Dallas, TX 75206
Phone (214) 697-4206

5315 Ross Ave
Dallas, TX 75206
Phone (214) 253-2264

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1558433250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752067418",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD N SKUFCA DO PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RONALD N SKUFCA, DO PA",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "SKUFCA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-826-2151",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158302302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158302301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHCARE CLINICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALTHCARE CLINICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.