Organization Active NPI

Avanta Health Professionals, P a

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1740210483
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K9400 Issued in TX
Legal business name
AVANTA HEALTH PROFESSIONALS, P A
Practice address
1302 N Shepherd Dr
Houston, TX 77008-3752
Phone
(713) 885-9899
Fax
(713) 885-9871
NPI assigned
Jul 4, 2006
Last updated
Jun 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Dr. Antonio Jose Ramos, M.D.NPI 1063424992
Title
Medical Director
Phone
(713) 885-9899

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
Internal Medicine Physician 207R00000X K9400 TX Primary

Addresses

Primary practice location

1302 N Shepherd Dr
Houston, TX 77008-3752

Mailing address

1302 N Shepherd Dr
Houston, TX 77008-3752
Phone (713) 885-9899

Other identifiers 1

IdentifierTypeStateIssuer
2044420454001OtherTXTRICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antonioaramos@avantahealthprofessionals.direct.emds.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070813000245 TX Part B Supplier - Clinic/Group Practice 1456442995 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Avanta Health Professionals2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: antonioaramos@avantahealthprofessionals.direct.emds.com

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1740210483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083752",
            "telephone_number": "713-885-9899",
            "fax_number": "713-885-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 N SHEPHERD DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083752",
            "telephone_number": "713-885-9899",
            "fax_number": "713-885-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTA HEALTH PROFESSIONALS, P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-885-9899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K9400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "2044420454001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antonioaramos@avantahealthprofessionals.direct.emds.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Ramos Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1302 N Shepherd Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770083752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.