NPIMap

Individual provider Active NPI

Maria Pharah Ambalong, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1285660076
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
Q9277 Issued in TX
Practice address
9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone
(682) 236-3656
NPI assigned
Jun 23, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2006034474 MO
Geriatric Medicine (Family Medicine) Physician 207QG0300X Q9277 TX Primary

Addresses

Primary practice location

9250 Amberton Pkwy
Dallas, TX 75243-3224

Mailing address

9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone (682) 236-3656

Other identifiers 2

IdentifierTypeStateIssuer
365729801MedicaidTX
207455304MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160920000266 TX Practitioner - Geriatric MedicinePractitioner - Family Practice 5294821591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Matrix PLLCGroup PAC ID 7719137397, 40 clinicians
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

6649 N Riverside Dr
Fort Worth, TX 76137-6640
Phone (954) 939-5000

9250 Amberton Pkwy
Dallas, TX 75243-3224
Phone (214) 860-6600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.26 of 100Reported as individual
Quality
38.72
Promoting interoperability
96
Improvement activities
40
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2016 Accepting new patients
Questcare Matrix, PLLC Current Accepting new patients
Questcare Matrix PLLC CurrentSince Nov 1, 2025 Accepting new patients
Questcare Matrix, PLLC CurrentSince Nov 1, 2025 Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Sep 1, 2016 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
Winnie-Stowell Hospital District Past Accepting new patients
Dallas County Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

724 W Rendon Crowley Rd
Crowley, TX 76036
Phone (817) 297-4141

550 E Ann Arbor Ave
Dallas, TX 75216
Phone (214) 376-1701

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

6649 N Riverside Dr
Ft Worth, TX 76137
Phone (817) 431-5778

850 12th Ave
Ft Worth, TX 76104
Phone (817) 882-8289

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Harrison at HeritageFort Worth, TX, CCN 676317 Skilled nursing facility Adp of the SNF Oct 19, 2021
Axel Hospice Care,LLCRichardson, TX, CCN 741743 Hospice Contracted Managing Employee Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1285660076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "682-236-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 AMBERTON PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433224",
            "telephone_number": "682-236-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBALONG",
        "first_name": "MARIA",
        "middle_name": "PHARAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2006034474",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "Q9277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365729801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207455304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.