Individual provider Active NPI

Ron E Slate Jr., DPM PLLC

  • Podiatrist
  • Angleton, TX
National Provider Identifier
1922006063
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1548 Issued in TX
Practice address
2036 E Mulberry St
Angleton, TX 77515-3923
Phone
(979) 848-0777
Fax
(979) 849-0757
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1548 TX
Podiatrist 213E00000X 1548 TX Primary

Addresses

Primary practice location

2036 E Mulberry St
Angleton, TX 77515-3923

Mailing address

2036 E Mulberry St
Angleton, TX 77515-3923
Phone (979) 848-0777

Other identifiers 6

IdentifierTypeStateIssuer
171187104MedicaidTX
5304710001OtherTXMEDICARE DME PTAN
8B8071OtherTXMEDICARE IND PTAN
00528WOtherTXMEDICARE GROUP PTAN
1548OtherTXTEXAS LICENSE NUMBER
152063702MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000251 TX Practitioner - Podiatry 3779565213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2036 E Mulberry
Angleton, TX 77515-3923
Phone (979) 848-0777

Hospital & facility affiliations

  • CHI St Luke'S Health Brazosport Hospital, Lake Jackson, TX, CCN 450072
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Brazosport Memorial Hospital Inpatient rehabilitation facility, Lake Jackson, TX, CCN 45T072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue230
Removal of nail tissue308
Removal or shaving of skin growth32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1548TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ron E. Slate Jr DPM PLLC Podiatrist CurrentSince Jan 13, 2004 Accepting new patients

Locations

2036 E Mulberry St
Angleton, TX 77515
Phone (979) 297-2220

Interoperability endpoints

  • Direct secure messaging: rslate58847@memorialhermann.direct-ci.com
  • Direct secure messaging: rslate27675@direct.utmb.edu
  • Direct secure messaging: rslate458446@direct.stlukeshealth.org

Organizations & group practices 1

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1922006063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 E MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153923",
            "telephone_number": "979-848-0777",
            "fax_number": "979-849-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2036 E MULBERRY ST",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153923",
            "telephone_number": "979-848-0777",
            "fax_number": "979-849-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATE",
        "first_name": "RON",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DPM PLLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1548",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171187104",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME PTAN",
            "identifier": "5304710001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PTAN",
            "identifier": "8B8071",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "00528W",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE NUMBER",
            "identifier": "1548",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152063702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Angleton, TX

Sources for this page

Verify at the official NPI Registry.