Organization Active NPI

Medicus Primacare Management LLC

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1841144482
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Feb 23, 2026

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20260424002051 TX Part B Supplier - Clinic/Group Practice 9032686233 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.