Individual provider Active NPI

Alyssa Michele Ramirez, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1215451430
Registry record updated Jul 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11337 Issued in TX
Practice address
8808 Camp Bowie West Blvd
Fort Worth, TX 76116-6028
Phone
(817) 569-5980
NPI assigned
Jul 30, 2017
Last updated
Jul 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2017

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 PA11337 TX Primary

Addresses

Primary practice location

8808 Camp Bowie West Blvd
Fort Worth, TX 76116-6028

Mailing address

2100 Twin Elms Dr
Arlington, TX 76012-5639
Phone (832) 693-3311

Other names 1

  • Alyssa Michele Hobizal Former name

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
I20171003006955 TX Practitioner - Physician Assistant 8123393063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.69 of 100Reported as group
Quality
57.54
Promoting interoperability
51
Improvement activities
40
Cost
88.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA11337TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
My Health My Resources of Tarrant County Past Accepting new patients

Organizations & group practices 2

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": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501372800000",
    "number": "1215451430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 TWIN ELMS DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760125639",
            "telephone_number": "832-693-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8808 CAMP BOWIE WEST BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761166028",
            "telephone_number": "817-569-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "ALYSSA",
        "middle_name": "MICHELE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-30",
        "last_updated": "2017-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "HOBIZAL",
            "middle_name": "MICHELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.