Individual provider Active NPI

Ryan Patrick Stork, M.D.

  • Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
  • Houston, TX
National Provider Identifier
1932498342
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Brain Injury Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P0301X
License
S5507 Issued in TX
Practice address
1333 Moursund St Ste 129
Houston, TX 77030-3405
Phone
(713) 797-5929
Fax
(713) 797-5213
NPI assigned
Apr 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301098293 MI
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician 2081P0301X S5507 TX Primary

Addresses

Primary practice location

1333 Moursund St Ste 129
Houston, TX 77030-3405

Mailing address

1133 John Freeman Blvd # 285a
Houston, TX 77030-2809
Phone (713) 486-2283

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
I20200514001368 TX Practitioner - NeurologyPractitioner - Physical Medicine and Rehabilitation 1557653599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Physical Medicine and Rehabilitation
Education
Medical College of Ohio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

1333 Moursund St
Memorial Hermann Tirr
Houston, TX 77030-3405
Phone (713) 797-5929

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301098293MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jun 1, 2020 Accepting new patients
Ut Physicians CurrentSince Jun 1, 2020 Accepting new patients

Locations

1333 Moursund St
Ste 129
Houston, TX 77030
Phone (713) 797-5929

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

1333 Moursund St
Houston, TX 77030
Phone (713) 797-5912

Interoperability endpoints

  • Direct secure messaging: rstork59803@memorialhermann.direct-ci.com
  • Direct secure messaging: rstork173117@direct.med.umich.edu

Organizations & group practices 2

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 3

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1932498342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 JOHN FREEMAN BLVD # 285A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302809",
            "telephone_number": "713-486-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 MOURSUND ST STE 129",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303405",
            "telephone_number": "713-797-5929",
            "fax_number": "713-797-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORK",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-06",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301098293",
            "primary": false
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "TX",
            "license": "S5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.