Individual provider Active NPI

Ryan Keith Couvillion, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Houston, TX
National Provider Identifier
1760706774
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
R5253 Issued in TX
Practice address
1900 Saint James PL Ste 600
Houston, TX 77056-4136
Phone
(713) 850-0240
NPI assigned
Mar 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X R5253 TX Primary

Addresses

Primary practice location

1900 Saint James PL Ste 600
Houston, TX 77056-4136

Mailing address

1900 Saint James PL Ste 600
Houston, TX 77056-4136
Phone (713) 850-0240

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
I20180525000627 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 0941565790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean Boutros MD PLLCGroup PAC ID 2769409036, 7 clinicians

Practice addresses (Care Compare)

9230 Katy Fwy
Suite 600
Houston, TX 77055-7434
Phone (713) 791-0700

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanova Dermatology PLLC CurrentSince Mar 17, 2023 Accepting new patients
Sean Boutros MD PLLC CurrentSince Jul 1, 2025 Accepting new patients
Suzanne Bruce and Associates, P.a. CurrentSince Sep 10, 2023 Accepting new patients

Locations

12319 N Mopac Expy
Ste 100
Austin, TX 78758
Phone (512) 837-3376

1900 Saint James Pl
Ste 600
Houston, TX 77056
Phone (713) 796-9199

1900 Saint James Pl
Ste 650
Houston, TX 77056
Phone (713) 850-0240

9230 Katy Fwy
Ste 600
Houston, TX 77055
Phone (713) 790-0700

1601 E Pflugerville Pkwy
Ste 1102
Pflugerville, TX 78660
Phone (512) 252-3700

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.

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1760706774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SAINT JAMES PL STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564136",
            "telephone_number": "713-850-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SAINT JAMES PL STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564136",
            "telephone_number": "713-850-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVILLION",
        "first_name": "RYAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "R5253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.