NPIMap

Individual provider Active NPI

Jon Harris, M.D.

  • Surgery Physician
  • Rockwall, TX
National Provider Identifier
1598109035
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R6570 Issued in TX
Practice address
6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729
Phone
(972) 412-7700
NPI assigned
Apr 27, 2013
Last updated
Apr 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R6570 TX Primary

Addresses

Primary practice location

6705 Heritage Pkwy Ste 104
Rockwall, TX 75087-8729

Mailing address

PO Box 127
Rockwall, TX 75087-0127
Phone (940) 395-1970

Other practice location 1

1005 W Ralph Hall Pkwy Ste 211
Rockwall, TX 75032-6662
Phone (972) 412-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180824000842 TX Practitioner - General Surgery 8527317510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David W. Ritter, MD PAGroup PAC ID 3072657667, 5 clinicians

Practice addresses (Care Compare)

4400 I H 30 W
Suite 300
Greenville, TX 75402-4643
Phone (972) 412-7700

6705 Heritage Pkwy
Suite 104
Rockwall, TX 75087-8729
Phone (972) 412-7700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Hernia repair (minimally invasive)23
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David W. Ritter, M.D., P.a. Surgery CurrentSince Aug 13, 2018 Accepting new patients
Urgent Surgery Associates, P.a. Past Accepting new patients
Texas Oncology PA Surgery Past Accepting new patients

Locations

4400 Interstate Highway 30 W
Ste 300
Greenville, TX 75402
Phone (469) 338-5246

6705 Heritage Pkwy
Ste 104
Rockwall, TX 75087
Phone (972) 412-7700

7501 Lakeview Pkwy
Ste 270
Rowlett, TX 75088
Phone (469) 916-7880

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1367020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1598109035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750870127",
            "telephone_number": "940-395-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6705 HERITAGE PKWY STE 104",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878729",
            "telephone_number": "972-412-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 W Ralph Hall Pkwy Ste 211",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326662",
            "country_code": "US",
            "telephone_number": "972-412-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-27",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.