Individual provider Active NPI

Ronald Norton Skufca, D.O.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1609877612
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
F0001 Issued in TX
Practice address
5315 Ross Ave
Dallas, TX 75206
Phone
(214) 826-2151
Fax
(214) 826-2196
NPI assigned
Aug 2, 2005
Last updated
Sep 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F0001 TX Primary

Addresses

Primary practice location

5315 Ross Ave
Dallas, TX 75206

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
126534006MedicaidTX

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
I20110330000936 TX Practitioner - General Practice 6305817388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald N Skufca DO PAGroup PAC ID 8224009204, 3 clinicians

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald N Skufca DO PA Family Medicine CurrentSince Jul 5, 1982 Accepting new patients

Locations

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

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

Interoperability endpoints

  • Direct secure messaging: ronald.skufca@hcc.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1609877612",
    "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": "214-826-2196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 ROSS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75206",
            "telephone_number": "214-826-2151",
            "fax_number": "214-826-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKUFCA",
        "first_name": "RONALD",
        "middle_name": "NORTON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126534006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.