Individual provider Active NPI

Ricardo Ruben Irizarry, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1578627345
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N2125 Issued in TX
Practice address
11910 Greenville Ave
Suite 650
Dallas, TX 75243-3596
Phone
(214) 373-9092
Fax
(214) 373-9250
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X N2125 TX Primary

Addresses

Primary practice location

11910 Greenville Ave
Suite 650
Dallas, TX 75243-3596

Mailing address

PO Box 741475
Dallas, TX 75374-1475
Phone (214) 373-9092

Other identifiers 1

IdentifierTypeStateIssuer
207165602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091123000584 TX Practitioner - Anesthesiology 4486748985 Reassigns benefits to 1 organization
I20171114003601 NC Practitioner - Anesthesiology 4486748985 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Miami, LM Miller School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 438-4143

Hospital & facility affiliations

  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 20, 2019 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Oct 10, 2017 Accepting new patients
Texas Anesthesia Partners, PLLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Allied Anesthesia Associates, LLP Anesthesiology Past Accepting new patients
Rapimed, LLC PastSince Jan 1, 2012 Accepting new patients
Francu One LLC Past Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 100
Cary, NC 27511
Phone (919) 415-1360

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

700 Highlander Blvd
Ste 415
Arlington, TX 76015
Phone (817) 330-1102

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 6

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 2

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461024000000",
    "number": "1578627345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741475",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753741475",
            "telephone_number": "214-373-9092",
            "fax_number": "214-373-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "SUITE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-373-9092",
            "fax_number": "214-373-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "RICARDO",
        "middle_name": "RUBEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207165602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.