Individual provider Active NPI

Masia Ravare

  • Medical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1558096644
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17674 Issued in TX
Practice address
20403 University Blvd Ste 400
Sugar Land, TX 77478-4977
Phone
(713) 636-2621
NPI assigned
Jul 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X PA17674 TX Primary

Addresses

Primary practice location

20403 University Blvd Ste 400
Sugar Land, TX 77478-4977

Mailing address

638A N University Dr # 125
Nacogdoches, TX 75961-4617
Phone (832) 600-8310

Other practice location 1

17228 W Grand Pkwy S Ste 2010
Sugar Land, TX 77479-7144
Phone (832) 841-4001

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250825003838 TX Practitioner - Physician Assistant 0648770461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group Gulf Coast PLLCGroup PAC ID 4688999022, 511 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Sugar Land, TX 77479-2649

20403 University Blvd
Suite 400
Sugar Land, TX 77478-4977
Phone (713) 636-2621

7900 Fannin St
Suite 4000
Houston, TX 77054-2935
Phone (713) 512-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA17674TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amber Kazi MD PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Privia Medical Group Gulf Coast, PLLC CurrentSince Jul 13, 2025 Accepting new patients
Privia Medical Group Gulf Coast PLLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

646 FM 517 Rd W
Dickinson, TX 77539
Phone (281) 309-9001

7900 Fannin St
Ste 4000
Houston, TX 77054
Phone (713) 512-7027

1200 Binz St
Ste 1490
Houston, TX 77004
Phone (713) 512-7027

10970 Shadow Creek Pkwy
Ste 100
Pearland, TX 77584
Phone (281) 398-8500

17228 W Grand Pkwy S
Ste 2010
Sugar Land, TX 77479
Phone (832) 816-8716

20403 University Blvd
Ste 400
Sugar Land, TX 77478
Phone (713) 412-8454

17510 W Grand Pkwy S
Ste 430
Sugar Land, TX 77479
Phone (713) 578-3820

Interoperability endpoints

  • Direct secure messaging: masia.ravare.1@8042.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1558096644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638A N UNIVERSITY DR # 125",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614617",
            "telephone_number": "832-600-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 UNIVERSITY BLVD STE 400",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784977",
            "telephone_number": "713-636-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17228 W Grand Pkwy S Ste 2010",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774797144",
            "country_code": "US",
            "telephone_number": "832-841-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAVARE",
        "first_name": "MASIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.