Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RICARDO JOSE ABREU IRIZARRY
NPI 1558814277
Orthopaedic Surgery in Houston, TX

Q: What is Ricardo Abreu Irizarry's NPI number?

The NPI number for Ricardo Abreu Irizarry is 1558814277. It was assigned to this individual provider in the NPPES registry on July 28, 2016.

Q: What is Ricardo Abreu Irizarry's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment

6400 FANNIN ST STE 1700, HOUSTON, TX 77030(713) 486-5527 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Aug 7, 2017 (2 updates tracked since 2017).

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About Ricardo Jose Abreu Irizarry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICARDO JOSE ABREU IRIZARRY (NPI 1558814277) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (V7797) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with North Texas Medical Center, and is a graduate of University Of Puerto Rico School Of Medicine (2017).

NPPES Registry Identity

NPI1558814277

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameRICARDO JOSE ABREU IRIZARRY

Location Address6400 FANNIN ST STE 1700Houston, TX 77030-1526

Mailing Address6400 Fannin St Ste 1700Houston, TX 77030-1526 · (713) 486-5527

Phone(713) 486-5527

Sole ProprietorYes

Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2017

Enumeration DateJuly 28, 2016

Last NPPES UpdateOctober 6, 20262 updates tracked since enumeration

NPPES CertifiedOctober 6, 2026

✔ NPI 1558814277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in TX · V7797

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6400 FANNIN ST STE 1700, Houston, TX 77030

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ricardo Jose Abreu Irizarry is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971001538

PECOS Enrollment IDI20250812003748

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ricardo Abreu Irizarry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gainesville Community Hospital, Inc.

290 mi

General Practice

1900 HOSPITAL BLVD
Gainesville, TX 76240

Reassigned Medicare billing, Texas enrollment
21 clinicians in this Medicare group

NPI 1942778816 (940) 665-1751

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450090

Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WALTER RICHARD LOWE MD

Orthopaedic Surgery (Sports Medicine)