Individual provider Active NPI

Maria Teresa Ramirez-Atamoros, MD

  • Family Medicine Physician
  • Tyler, TX
National Provider Identifier
1861652083
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R5189 Issued in TX
Practice address
1501 Easy St
Tyler, TX 75701-9136
Phone
(903) 630-4416
Fax
(855) 630-9658
NPI assigned
Jun 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26438 OK
Family Medicine Physician 207Q00000X MD2011-0661 NM
Family Medicine Physician 207Q00000X R5189 TX Primary

Addresses

Primary practice location

1501 Easy St
Tyler, TX 75701-9136

Mailing address

1501 Easy St
Tyler, TX 75701-9136
Phone (903) 630-4416

Other practice location 1

820 E Front St
Tyler, TX 75702-8326
Phone (903) 596-0602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20121019000622 NM Practitioner - Family PracticePractitioner - Emergency Medicine 3072763473 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26438OKMDFamily Medicine Physician
R5189TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tylermed Walk in Clinic PLLC Family Medicine CurrentSince May 19, 2024 Accepting new patients
Newmexidoc, PA. CurrentSince Dec 16, 2014 Accepting new patients
On Call Medical Services LLC Past Accepting new patients
Radiology Associates of North Texas PA Past Accepting new patients
Oncall Immedaite Medical Care LLC Family Medicine Past Accepting new patients
Willow Wellness Center, P.a. PastSince Jan 1, 2006 Accepting new patients

Locations

831 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 501-7791

Organizations & group practices 6

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1861652083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 EASY ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019136",
            "telephone_number": "903-630-4416",
            "fax_number": "855-630-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 EASY ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019136",
            "telephone_number": "903-630-4416",
            "fax_number": "855-630-9658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 E Front St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757028326",
            "country_code": "US",
            "telephone_number": "903-596-0602",
            "fax_number": "903-596-0620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ-ATAMOROS",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26438",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2011-0661",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.