Individual provider Active NPI

Eric R Ritchie, MD

  • Pediatric Orthopaedic Surgery Physician
  • Boerne, TX
National Provider Identifier
1972535169
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
L9872 Issued in TX
Practice address
110 E Bandera Rd
Boerne, TX 78006-2802
Phone
(210) 481-1700
NPI assigned
Jul 7, 2006
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X L9872 TX Primary

Addresses

Primary practice location

110 E Bandera Rd
Boerne, TX 78006-2802

Mailing address

110 E Bandera Rd
Boerne, TX 78006-2802
Phone (210) 481-1700

Other identifiers 2

IdentifierTypeStateIssuer
178483704MedicaidTX
178483701MedicaidTX

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
I20051005000082 TX Practitioner - Orthopedic Surgery 1759316144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9872TXMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha and Omega Orthopedics PLLC Pediatric Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients
Alpha and Omega Orthopedics PLLC Pediatric Orthopaedic Surgery CurrentSince Apr 1, 2023 Accepting new patients

Locations

110 E Bandera Rd
Boerne, TX 78006
Phone (210) 224-2655

540 Madison Oak Dr
Ste 260
San Antonio, TX 78258
Phone (210) 481-1700

Interoperability endpoints

  • Direct secure messaging: eritchie422178@christushealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1972535169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062802",
            "telephone_number": "210-481-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BANDERA RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062802",
            "telephone_number": "210-481-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "ERIC",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "TX",
            "license": "L9872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178483704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178483701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.