Individual provider Active NPI

Darius Rutazaana, M.D.

  • Hospitalist Physician
  • Cypress, TX
National Provider Identifier
1790160554
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
U2415 Issued in TX
Practice address
27800 Northwest Fwy
Cypress, TX 77433-5302
Phone
(346) 231-4000
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30975 NE
Internal Medicine Physician 207R00000X U2415 TX
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X U2415 TX Primary

Addresses

Primary practice location

27800 Northwest Fwy
Cypress, TX 77433-5302

Mailing address

2822 Sycamore Wood Trce
Fulshear, TX 77494-8040
Phone (347) 813-3769

Other practice location 1

10 E 31st St
Kearney, NE 68847
Phone (308) 865-2690

Other practice location 2

82-68 164TH Street
Jamaica, NY 11432
Phone (718) 883-3248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180724000556 NE Practitioner - Hospitalist 8426305384 Reassigns benefits to 1 organization
I20230908001416 TX Practitioner - HospitalistPractitioner - Internal Medicine 8426305384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
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)

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

27800 Northwest Fwy
Cypress, TX 77433-5302
Phone (346) 231-5887

27800 NW Fwy 4201
Cypress, TX 77433-5302
Phone (346) 231-4628

27800 NW Fwy M2 562
Cypress, TX 77433-5302
Phone (346) 231-4495

915 Gessner Rd
Suite 100
Houston, TX 77024-2537
Phone (713) 242-2222

9250 Pinecroft Dr
Shenandoah, TX 77380-3218
Phone (713) 897-2307

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

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

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

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

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

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.

Hospital & facility affiliations 8

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1790160554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 SYCAMORE WOOD TRCE",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774948040",
            "telephone_number": "347-813-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27800 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335302",
            "telephone_number": "346-231-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 E 31st St",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "68847",
            "country_code": "US",
            "telephone_number": "308-865-2690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "82-68 164TH STREET",
            "address_purpose": "LOCATION",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "country_code": "US",
            "telephone_number": "718-883-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUTAZAANA",
        "first_name": "DARIUS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "30975",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U2415",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "U2415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.