Active NPI
Ramiro D. Cavazos, M.D.
- Pediatric Adolescent Medicine Physician
- Fort Worth, TX
National Provider Identifier
1427016476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- D9388
- Practice address
- 1108 S Henderson St
Fort Worth, TX 76104-4430 - Phone
- (817) 335-3255
- Fax
- (817) 338-9563
- NPI assigned
- May 1, 2006
- Last updated
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D9388 | TX | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | D9388 | TX | Primary |
Addresses
Primary practice location
1108 S Henderson St
Fort Worth, TX 76104-4430
Mailing address
1108 S Henderson St
Fort Worth, TX 76104-4430
Phone (817) 335-3255
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10028699 | Other | TX | AMERIGROUP |
| 130900703 | Other | TX | MEDICAID EPSDT |
| 127096903 | Medicaid | TX | |
| 83214X | Other | TX | BCBS |
| 4229409 | Other | TX | AETNA |
Other names 1
- Ramiro D. Cavazos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D9388 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Worth Pediatrics, P.a. | Adolescent Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Adolescent Medicine Physician
- Fort Worth, TX
- NPI 1972623031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216252800000",
"number": "1427016476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044430",
"telephone_number": "817-335-3255",
"fax_number": "817-338-9563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 S HENDERSON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044430",
"telephone_number": "817-335-3255",
"fax_number": "817-338-9563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAVAZOS",
"first_name": "RAMIRO",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2008-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "D9388",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "TX",
"license": "D9388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10028699",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID EPSDT",
"identifier": "130900703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127096903",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "83214X",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4229409",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAMIRO",
"last_name": "CAVAZOS",
"middle_name": "D.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.