Individual provider Active NPI

Ramon C Ty Jr., M.D., P.A.

  • Specialist
  • Houston, TX
National Provider Identifier
1861474595
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G9700 Issued in TX
Practice address
7737 Southwest Fwy
#565
Houston, TX 77074-1807
Phone
(713) 779-3789
Fax
(713) 779-6789
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G9700 TX Primary

Addresses

Primary practice location

7737 Southwest Fwy
#565
Houston, TX 77074-1807

Mailing address

7737 Southwest Fwy
#565
Houston, TX 77074-1807
Phone (713) 779-3789

Other identifiers 1

IdentifierTypeStateIssuer
113946104MedicaidTX

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
I20050613000534 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072557917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7737 Southwest Fwy
Houston, TX 77074-1800
Phone (713) 779-3789

Hospital & facility affiliations

  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644
  • St Luke'S Sugar Land Hospital Hospital, Sugar Land, TX, CCN 670053
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • El Campo Memorial Hospital Hospital, El Campo, TX, CCN 450694

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9700TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Radiology PA CurrentSince Jun 1, 2024 Accepting new patients
Houston Medical Imaging CurrentSince Jun 1, 2024 Accepting new patients
Uttam Tripathy MD PA Past Accepting new patients

Locations

2502 W Trenton Rd
Edinburg, TX 78539
Phone (956) 630-2119

2130 W Holcombe Blvd
#B
Houston, TX 77030

3310 Richmond Ave
Houston, TX 77098
Phone (713) 400-3400

3322 E Walnut St
Ste 105
Pearland, TX 77581
Phone (281) 485-2201

Organizations & group practices 4

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 9

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1861474595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "#565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-779-3789",
            "fax_number": "713-779-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "#565",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-779-3789",
            "fax_number": "713-779-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TY",
        "first_name": "RAMON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G9700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113946104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.