Individual provider Active NPI

Maya Irene Srimushnam Batista, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
National Provider Identifier
1326304908
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
R5651 Issued in TX
Practice address
5668 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4109
Phone
(817) 764-1554
Fax
(817) 764-1565
NPI assigned
Apr 8, 2012
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X R5651 TX Primary
Surgery Physician 208600000X R5651 TX

Addresses

Primary practice location

5668 Edwards Ranch Rd Ste 101
Fort Worth, TX 76109-4109

Mailing address

PO Box 842861
Dallas, TX 75284-2861
Phone (817) 764-1554

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
I20181009000797 TX Practitioner - General SurgeryPractitioner - Undersea and Hyperbaric Medicine 5395978548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Undersea and Hyperbaric Medicine
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renovo Wound and Hyperbarics PLLCGroup PAC ID 6002236379, 4 clinicians

Practice addresses (Care Compare)

5668 Edwards Ranch Rd
Suite 101
Fort Worth, TX 76109-4109
Phone (817) 764-1565

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Single Specialty CurrentSince Sep 17, 2018 Accepting new patients
Healthtexas Provider Network Single Specialty CurrentSince Sep 17, 2018 Accepting new patients
Renovo Wound and Hyperbarics PLLC Single Specialty CurrentSince Aug 15, 2025 Accepting new patients
Healthtexas Provider Network Single Specialty Current Accepting new patients
Arlington Wound Care and Hyperbaric Center LLC Single Specialty PastSince Aug 15, 2025 Accepting new patients

Locations

1001 W Arbrook Blvd
Ste 161
Arlington, TX 76015
Phone (817) 402-0952

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5668 Edwards Ranch Rd
Ste 101
Fort Worth, TX 76109
Phone (817) 402-0952

401 N Valley Pkwy
Ste 380
Lewisville, TX 75067
Phone (469) 904-6428

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2460 N Interstate Highway 35 E
Ste 215
Waxahachie, TX 75165
Phone (469) 800-9830

Organizations & group practices 5

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": "1333843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1326304908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 842861",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752842861",
            "telephone_number": "817-764-1554",
            "fax_number": "817-764-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5668 EDWARDS RANCH RD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094109",
            "telephone_number": "817-764-1554",
            "fax_number": "817-764-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATISTA",
        "first_name": "MAYA",
        "middle_name": "IRENE SRIMUSHNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "TX",
            "license": "R5651",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R5651",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.