Individual provider Active NPI

Maria Eugenia Canci, MD

  • Family Medicine Physician
  • North Richland Hills, TX
National Provider Identifier
1033787148
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
V3568 Issued in TX
Practice address
4351 Booth Calloway Rd Ste 101
North Richland Hills, TX 76180-7398
Phone
(817) 281-1165
Fax
(817) 284-4990
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Family Medicine Physician 207Q00000X V3568 TX Primary

Addresses

Primary practice location

4351 Booth Calloway Rd Ste 101
North Richland Hills, TX 76180-7398

Mailing address

4351 Booth Calloway Rd Ste 101
North Richland Hills, TX 76180-7398
Phone (817) 281-1165

Other practice location 1

701 W 5th St Ste 1229
Odessa, TX 79763-4206
Phone (432) 703-5238

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TTUHSC Health Information Exchange (HIE)

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
I20250311001856 TX Practitioner - Family Practice 0648672329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Hills Family Practice, PAGroup PAC ID 9638154313, 5 clinicians

Practice addresses (Care Compare)

4351 Booth Calloway Rd
Suite 101
North Richland Hills, TX 76180-7319
Phone (817) 284-1165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V3568TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hills Family Practice, PA Family Medicine CurrentSince Jan 21, 2025 Accepting new patients

Locations

4351 Booth Calloway Rd
Ste 101
Richland Hills, TX 76180
Phone (817) 284-1165

Interoperability endpoints

  • Direct secure messaging: maria.canci.1@21606.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.

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1033787148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD STE 101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807398",
            "telephone_number": "817-281-1165",
            "fax_number": "817-284-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 BOOTH CALLOWAY RD STE 101",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807398",
            "telephone_number": "817-281-1165",
            "fax_number": "817-284-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W 5th St Ste 1229",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797634206",
            "country_code": "US",
            "telephone_number": "432-703-5238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCI",
        "first_name": "MARIA",
        "middle_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "V3568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TTUHSC",
            "affiliation": "N",
            "endpointDescription": "TTUHSC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 W 5th St Ste 1229",
            "city": "Odessa",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797634206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.