Individual provider Active NPI

Jacqueline Ragudos-Weathersby, PA-C

  • Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1790128270
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18188 Issued in TX
Practice address
16811 Southwest Fwy Ste 200
Sugar Land, TX 77479-4728
Phone
(281) 690-4678
NPI assigned
Apr 15, 2013
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18188 TX Primary

Addresses

Primary practice location

16811 Southwest Fwy Ste 200
Sugar Land, TX 77479-4728

Mailing address

1530 Front St
East Meadow, NY 11554-2265

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129000806 TX Practitioner - Physician Assistant 3577705201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

16655 Southwest Fwy
Sugar Land, TX 77479-2329

16811 Southwest Fwy
Sugar Land, TX 77479-4728

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016479NYMDOccupational Therapist
PA18188TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Nov 28, 2024 Accepting new patients
TMH Physician Associates PLLC CurrentSince Nov 28, 2024 Accepting new patients
Houston Methodist Specialty Physicians CurrentSince Sep 2, 2025 Accepting new patients
Zhanna Roit, M.D. P.C Past Accepting new patients
D.a.C. Physical Medicine, P.C. PastSince Apr 1, 2004 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

16811 Southwest Fwy
Ste 200
Sugar Land, TX 77479
Phone (281) 690-4678

Interoperability endpoints

  • Direct secure messaging: jragudosweathersby554872@directhoustonmethodist.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1790128270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 FRONT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16811 SOUTHWEST FWY STE 200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794728",
            "telephone_number": "281-690-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGUDOS-WEATHERSBY",
        "first_name": "JACQUELINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.