Individual provider Active NPI

Ronald Alan Buczek, D.O.

  • Surgery Physician
  • Shenandoah, TX
National Provider Identifier
1962448811
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
K9742 Issued in TX
Practice address
101 Vision Park Blvd
Shenandoah, TX 77384-3012
Phone
(281) 363-2829
Fax
(281) 292-1201
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X K9742 TX Primary

Addresses

Primary practice location

101 Vision Park Blvd
Shenandoah, TX 77384-3012

Mailing address

101 Vision Park Blvd
Shenandoah, TX 77384-3012
Phone (281) 363-2829

Other identifiers 1

IdentifierTypeStateIssuer
158920201MedicaidTX

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
I20121031000597 TX Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 6608764212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Plastic and Reconstructive Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buczek and Kobza, PLLCGroup PAC ID 0648168245, 3 clinicians

Practice addresses (Care Compare)

101 Vision Park Blvd
Shenandoah, TX 77384-3011
Phone (281) 363-2829

Hospital & facility affiliations

  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347
  • Townsen Memorial Hospital Hospital, Humble, TX, CCN 670266

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Buczek Kobza LLC Surgery CurrentSince Oct 7, 2002 Accepting new patients

Locations

101 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 363-2829

25227 Borough Park Dr
The Woodlands, TX 77380
Phone (281) 292-7000

9006 Forest Xing
Ste E
The Woodlands, TX 77381
Phone (281) 363-2829

Interoperability endpoints

  • Direct secure messaging: ronald.buczek.1@13131.direct.athenahealth.com
  • Direct secure messaging: ronald.buczek.ii.1@11939.direct.athenahealth.com
  • Direct secure messaging: rabuczek@direct.uspi.com
  • Direct secure messaging: ronald.buczek.1@810.direct.athenahealth.com
  • Direct secure messaging: ronald.buczek.2@11939.direct.athenahealth.com

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 2

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1962448811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843012",
            "telephone_number": "281-363-2829",
            "fax_number": "281-292-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843012",
            "telephone_number": "281-363-2829",
            "fax_number": "281-292-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCZEK",
        "first_name": "RONALD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "K9742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158920201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.