Individual provider Active NPI

Marie Antonette A Ramos, MD

  • Pediatrics Physician
  • Waxahachie, TX
National Provider Identifier
1588762348
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N9625 Issued in TX
Practice address
2460 N Ih 35 E Ste 100
Waxahachie, TX 75165-5267
Phone
(469) 800-9500
Fax
(469) 800-9510
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X N9625 TX
Pediatrics Physician 208000000X N9625 TX Primary

Addresses

Primary practice location

2460 N Ih 35 E Ste 100
Waxahachie, TX 75165-5267

Mailing address

2460 N Ih 35 E Ste 100
Waxahachie, TX 75165-5267
Phone (469) 800-9500

Other practice location 1

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-4012

Other identifiers 1

IdentifierTypeStateIssuer
41387OtherIAWELLMARK

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
I20110624000520 TX Practitioner - Pediatric Medicine 8224127923 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Healthtexas Provider Network Pediatrics Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 29, 2022 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince May 1, 2017 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

3500 Gaston Ave
Dallas, TX 75246

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

800 W Central Texas Expy
Harker Heights, TX 76548
Phone (254) 618-4933

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

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

2460 N Interstate Highway 35 E
Ste 100
Waxahachie, TX 75165
Phone (469) 800-9500

Interoperability endpoints

  • Direct secure messaging: mramos444908@direct.sw.org

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1588762348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 N IH 35 E STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655267",
            "telephone_number": "469-800-9500",
            "fax_number": "469-800-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 N IH 35 E STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751655267",
            "telephone_number": "469-800-9500",
            "fax_number": "469-800-9510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462017",
            "country_code": "US",
            "telephone_number": "214-820-4012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "MARIE ANTONETTE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "N9625",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N9625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "41387",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.