Active NPI
Mariam Razi, MD
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N9482
- Practice address
- 1301 Pennsylvania Ave
Fort Worth, TX 76104-2122 - Phone
- (817) 250-4906
- NPI assigned
- Mar 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A101725 | CA | |
| Internal Medicine Physician | 207R00000X | N9482 | TX | Primary |
Addresses
Primary practice location
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Mailing address
1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-4906
Other practice location 1
361 Hospital Rd Ste 227
Newport Beach, CA 92663-3523
Phone (949) 436-7294
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1650 W College St
Grapevine, TX 76051-3565
Phone (817) 388-3440
4001 Worth St
Dallas, TX 75246-1608
5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920
Hospital & facility affiliations
- Baylor Scott & White Medical Center Grapevine
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101725 | CA | MD | Internal Medicine Physician |
| N9482 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Texas PA | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Baylor Regional Medical Center at Grapevine | Past | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
201 Walls Dr
Cleburne, TX 76033
Phone (817) 556-5587
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360
1650 W College St
Ste 150
Grapevine, TX 76051
Phone (817) 338-3440
Interoperability endpoints
- mrazi767885@direct.sw.org
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
Internal Medicine
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1306017983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-250-4906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042122",
"telephone_number": "817-250-4906"
}
],
"practiceLocations": [
{
"address_1": "361 Hospital Rd Ste 227",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926633523",
"country_code": "US",
"telephone_number": "949-436-7294",
"fax_number": "949-612-1690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAZI",
"first_name": "MARIAM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-21",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A101725",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "N9482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.