NPIMap

Individual provider Active NPI

Maria Audrie De Jesus, MD

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1336176387
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
P4641 Issued in TX
Practice address
500 Throckmorton Street
Unit 3309
Fort Worth, TX 76102
Phone
(817) 908-8124
Fax
(817) 885-7339
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X P4641 TX Primary

Addresses

Primary practice location

500 Throckmorton Street
Unit 3309
Fort Worth, TX 76102

Mailing address

13330 Noel Road
Apt 338
Dallas, TX 75240
Phone (914) 255-0294

Other identifiers 13

IdentifierTypeStateIssuer
3099038OtherNCGHI HEALTH PLANS
01872586MedicaidNY
53N521OtherNYEMPIRE BCBS
30440476OtherNYMAGNACARE
DM6602OtherNYATLANTIS BEHAVIORAL HEALT
P3241805OtherNYOXFORD
030440476DE02OtherNYCARE PLUS
2399196OtherNYUNITED HEALTHCARE
206602OtherNYHIP HEALTH PLAN OF NY
3283244 07MedicaidTX
4C9461OtherNYHEALTH NET
7745380OtherNYCIGNA HEALTHCARE
902408901OtherNYAMERICHOICE

Other names 1

  • Maria A Lagrimas Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050505000151 NY Practitioner - Neurology 3072553486 Reassigns benefits to 3 organizations
I20130227000373 TX Practitioner - Neurology 3072553486 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Txiom LLCGroup PAC ID 3678839735, 3 clinicians
Monitoring Associates LLCGroup PAC ID 8921314923, 11 clinicians

Practice addresses (Care Compare)

3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 560-9127

550 N Central Expy
Unit 707
McKinney, TX 75070-0036
Phone (855) 864-4322

5930 Royal LN
Suite E 119
Dallas, TX 75230-3849
Phone (517) 862-9343

803 Little Cub Way
Euless, TX 76039-6086
Phone 68256091270000

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (682) 560-9127

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sash Healthcare Services CurrentSince May 11, 2019 Accepting new patients
Monitoring Associates LLC CurrentSince Dec 31, 2021 Accepting new patients
Paradigm Neurodiagnostics LLC CurrentSince May 11, 2019 Accepting new patients
Erwin a. Cruz, MD, PA CurrentSince Oct 1, 2017 Accepting new patients
Longhorn Neurophysiology, P.a. Neurology CurrentSince May 15, 2025 Accepting new patients
Sensory Testing Systems, LLC Neurology CurrentSince Jun 1, 2025 Accepting new patients
Yankee Neurophysiology, P.C. Neurology CurrentSince May 1, 2025 Accepting new patients
Dallas Nephrology Associates Past Accepting new patients
Booth Medical Associates PC Neurology Past Accepting new patients
Birch & Birch DPM Past Accepting new patients
Rye Brook Neurology, PC PastSince Feb 17, 2005 Accepting new patients

Locations

4620 E Baseline Rd
Mesa, AZ 85206
Phone (480) 308-7702

9811 W Charleston Blvd
Ste 2641
Las Vegas, NV 89117
Phone (281) 742-9544

12800 Preston Rd
Ste 101
Dallas, TX 75230
Phone (972) 503-2780

5930 Royal Ln
Ste E119
Dallas, TX 75230
Phone (469) 215-5363

550 N Central Expy
Unit 707
McKinney, TX 75070
Phone (214) 865-6310

1141 N Loop 1604 E
Ste 105484
San Antonio, TX 78232

77 Sugar Creek Center Blvd
Ste 510
Sugar Land, TX 77478
Phone (281) 495-5966

Interoperability endpoints

  • Direct secure messaging: mdejesus303973@direct.bilh.masshiway.net
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1336176387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13330 NOEL ROAD",
            "address_2": "APT 338",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "914-255-0294",
            "fax_number": "434-277-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THROCKMORTON STREET",
            "address_2": "UNIT 3309",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76102",
            "telephone_number": "817-908-8124",
            "fax_number": "817-885-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE JESUS",
        "first_name": "MARIA",
        "middle_name": "AUDRIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "P4641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HEALTH PLANS",
            "identifier": "3099038",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01872586",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "53N521",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "30440476",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS BEHAVIORAL HEALT",
            "identifier": "DM6602",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3241805",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE PLUS",
            "identifier": "030440476DE02",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2399196",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN OF NY",
            "identifier": "206602",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3283244 07",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "4C9461",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7745380",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "902408901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "LAGRIMAS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.