Individual provider Active NPI

Ralph Rowland Parker, MD

  • Surgery Physician
  • Flower Mound, TX
National Provider Identifier
1760475099
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J0178 Issued in TX
Practice address
4370 Medical Arts Dr Ste 200
Flower Mound, TX 75028-1719
Phone
(972) 874-3400
Fax
(972) 874-3400
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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 J0178 TX Primary

Addresses

Primary practice location

4370 Medical Arts Dr Ste 200
Flower Mound, TX 75028-1719

Mailing address

4370 Medical Arts Dr Ste 200
Flower Mound, TX 75028-1719
Phone (972) 874-3400

Other identifiers 1

IdentifierTypeStateIssuer
035623001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ralph@ralphparkermd.providersdirect.com Direct

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
I20050331000597 TX Practitioner - General Surgery 5193636439 Practice locations: Flower Mound, TX; Irving, TX

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4370 Medical Arts Dr
Suite 200
Flower Mound, TX 75028-1719
Phone (972) 874-3400

701 Tuscan Dr
Suite 225
Irving, TX 75039-3838
Phone (214) 637-1999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)12
Hernia repair (minimally invasive)31
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Hospital & facility affiliations 1

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1760475099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281719",
            "telephone_number": "972-874-3400",
            "fax_number": "972-874-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 MEDICAL ARTS DR STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281719",
            "telephone_number": "972-874-3400",
            "fax_number": "972-874-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RALPH",
        "middle_name": "ROWLAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J0178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035623001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ralph@ralphparkermd.providersdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4370 Medical Arts Dr Ste 200",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.