Active NPI
Kyralessa Beatriz Ramirez
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1720282304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BP1-0026319
- Practice address
- 4501 Groveway Dr
Houston, TX 77087-1122 - Phone
- (713) 644-1568
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0026319 | TX | Primary |
Addresses
Primary practice location
4501 Groveway Dr
Houston, TX 77087-1122
Mailing address
2514 Muricia Dr
League City, TX 77573-2580
Phone (409) 789-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851657178 | Other | MYUTMB 3851657178-COMMERCIAL NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0026319 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Pediatrics | Current | Accepting new patients |
Locations
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
6465 S Shore Blvd
Ste 500
League City, TX 77573
Phone (281) 538-7735
Interoperability endpoints
- kramirezmd8913@direct.utmb.edu
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1720282304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 MURICIA DR",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775732580",
"telephone_number": "409-789-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 GROVEWAY DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770871122",
"telephone_number": "713-644-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMIREZ",
"first_name": "KYRALESSA",
"middle_name": "BEATRIZ",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0026319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 3851657178-COMMERCIAL NUMBER",
"identifier": "3851657178",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.