Individual provider Active NPI

Ryan Austin Klitgaard, MD

  • Family Medicine Physician
  • Carrollton, TX
National Provider Identifier
1801240809
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R9634 Issued in TX
Practice address
1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347
Phone
(972) 939-4555
Fax
(972) 939-7020
NPI assigned
Apr 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R9634 TX Primary

Addresses

Primary practice location

1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347

Mailing address

1428 W Hebron Pkwy Ste 110
Carrollton, TX 75010-6347
Phone (972) 939-4555

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
I20191116000062 TX Practitioner - Family Practice 5698060457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Family Medicine, PAGroup PAC ID 7719988443, 5 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1428 W Hebron Pkwy
Suite 110
Carrollton, TX 75010-6319
Phone (972) 939-4555

4001 Worth St
Dallas, TX 75246-1608

6601 Preston Rd
Plano, TX 75024-2502
Phone (469) 326-3400

6800 State Hwy 121
McKinney, TX 75070-2905
Phone (469) 800-5680

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9634TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Sep 8, 2025 Accepting new patients
Precision Family Medicine, PA Single Specialty CurrentSince Sep 28, 2023 Accepting new patients
Healthtexas Provider Network Single Specialty Current Accepting new patients
Healthtexas Provider Network Single Specialty Past Accepting new patients

Locations

1428 W Hebron Pkwy
Ste 110
Carrollton, TX 75010
Phone (800) 555-9073

301 N Washington Ave
Fl 5
Dallas, TX 75246
Phone (469) 800-8742

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

6800 State Highway 121
McKinney, TX 75070
Phone (469) 800-5570

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 5

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 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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1801240809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106347",
            "telephone_number": "972-939-4555",
            "fax_number": "972-939-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 W HEBRON PKWY STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106347",
            "telephone_number": "972-939-4555",
            "fax_number": "972-939-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLITGAARD",
        "first_name": "RYAN",
        "middle_name": "AUSTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-16",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R9634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.