Individual provider Active NPI

Marianne Damian Rios, PA

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1104409291
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
9800 N Beach St Ste 508
Fort Worth, TX 76244-6473
Phone
(817) 890-9111
Fax
(866) 939-1308
NPI assigned
May 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

9800 N Beach St Ste 508
Fort Worth, TX 76244-6473

Mailing address

9800 N Beach St Ste 508
Fort Worth, TX 76244-6473
Phone (817) 890-9111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607001008 TX Practitioner - Physician Assistant 0547660953 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Jul 19, 2021 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 19, 2021 Accepting new patients

Locations

2833 Babcock Rd
Ste 203
San Antonio, TX 78229
Phone (210) 267-1709

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: mrios255439@christushealth.direct-ci.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/FIJCCD/Endpoint/FIJCCD

Organizations & group practices 3

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": "1620172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1104409291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 508",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446473",
            "telephone_number": "817-890-9111",
            "fax_number": "866-939-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 N BEACH ST STE 508",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446473",
            "telephone_number": "817-890-9111",
            "fax_number": "866-939-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "MARIANNE",
        "middle_name": "DAMIAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-05",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.