Active NPI
Medicus Primacare Management LLC
- General Practice Physician
- Houston, TX
National Provider Identifier
1841144482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- MEDICUS PRIMACARE MANAGEMENT LLC
- Practice address
- 5625 Cypress Creek Pkwy Ste 504B
Houston, TX 77069-4212 - Phone
- (888) 870-6440
- Fax
- (888) 870-6440
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Noel Dato Larroza, MSN, RN
- Title
- Ceo
- Phone
- (773) 946-6068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
5625 Cypress Creek Pkwy Ste 504B
Houston, TX 77069-4212
Mailing address
5625 Cypress Creek Pkwy Ste 504B
Houston, TX 77069-4212
Phone (888) 870-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260424002051 | TX | Part B Supplier - Clinic/Group Practice | 9032686233 |
Receives reassigned benefits from 2 practitioners Practice locations: Houston, TX |
National Provider Directory
National Provider DirectoryLocations
5625 Cypress Creek Pkwy
Ste 504B
Houston, TX 77069
Phone (888) 870-6440
3224 I 30
Ste 118
Mesquite, TX 75150
Phone (214) 381-1910
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1841144482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5625 CYPRESS CREEK PKWY STE 504B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694212",
"telephone_number": "888-870-6440",
"fax_number": "888-870-6440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 CYPRESS CREEK PKWY STE 504B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770694212",
"telephone_number": "888-870-6440",
"fax_number": "888-870-6440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICUS PRIMACARE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-20",
"status": "A",
"authorized_official_last_name": "LARROZA",
"authorized_official_first_name": "RYAN NOEL",
"authorized_official_middle_name": "DATO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-946-6068",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MSN, RN"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.