Individual provider Active NPI

Ryan Walsh, M.D.

  • Family Medicine Physician
  • Pearland, TX
National Provider Identifier
1770523219
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q7299 Issued in TX
Practice address
10907 Memorial Hermann Dr Ste 100
Pearland, TX 77584-4114
Phone
(713) 413-6610
Fax
(713) 413-6601
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics Physician 2083C0008X Q7299 TX
Family Medicine Physician 207Q00000X Q7299 TX Primary

Addresses

Primary practice location

10907 Memorial Hermann Dr Ste 100
Pearland, TX 77584-4114

Mailing address

909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ryanp.walsh@direct.mhie.org 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
I20160426000075 TX Practitioner - Family Practice 0840252011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Medical GroupGroup PAC ID 7012008360, 760 clinicians

Practice addresses (Care Compare)

14023 Southwest Fwy
Sugar Land, TX 77478-3550
Phone (281) 325-4100

1801 N Loop W
Suite 30
Houston, TX 77008-1445
Phone (713) 802-9781

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q7299TXMDClinical Informatics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Specialty Services Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Memorial Hermann Medical Group Family Medicine CurrentSince Apr 22, 2019 Accepting new patients
Medicorp on Call, P.a. Family Medicine PastSince Mar 7, 2021 Accepting new patients

Locations

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

6410 Fannin St
Ste 510
Houston, TX 77030
Phone (713) 500-5736

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

10907 Memorial Hermann Dr
Ste 100
Pearland, TX 77584
Phone (713) 413-6610

16100 South Fwy
Ste C1100
Pearland, TX 77584
Phone (713) 413-6610

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1770523219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 FROSTWOOD DR STE 1.100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 MEMORIAL HERMANN DR STE 100",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844114",
            "telephone_number": "713-413-6610",
            "fax_number": "713-413-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "TX",
            "license": "Q7299",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q7299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryanp.walsh@direct.mhie.org",
            "affiliation": "N",
            "endpointDescription": "Memorial Hermann Cerner Direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10907 Memorial Hermann Dr Ste 100",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775844114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.