Individual provider Active NPI

Mariana M. Tawadrous, D.O.

  • Internal Medicine Physician
  • Carrollton, TX
National Provider Identifier
1881639029
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R4484 Issued in TX
Practice address
2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946
Phone
(469) 620-0811
Fax
(940) 222-2720
NPI assigned
Jun 20, 2006
Last updated
Mar 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R4484 TX Primary

Addresses

Primary practice location

2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946

Mailing address

2340 E Trinity Mills Rd Ste 250
Carrollton, TX 75006-1946
Phone (469) 620-0811

Other names 1

  • Mariana M. Agaiby Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181213003085 TX Practitioner - Internal Medicine 5294790283 Reassigns benefits to 2 organizations
I20230320000280 AZ Practitioner - Internal Medicine 5294790283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlas Medical Aco LLCGroup PAC ID 1456885227, 50 clinicians
Century Care IncGroup PAC ID 3971665605, 51 clinicians

Practice addresses (Care Compare)

7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650

Merit-based Incentive Payment System (MIPS)

Final score
77.24 of 100Reported as group
Quality
66.21
Improvement activities
40
Cost
66.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R4484TXMDInternal Medicine Physician
009996AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Care Inc Internal Medicine CurrentSince Mar 14, 2023 Accepting new patients
Atlas Medical Aco LLC Family Medicine CurrentSince Apr 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Oct 29, 2018 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Apr 1, 2019 Accepting new patients
Advanced Healthcare SC Family Medicine Past Accepting new patients
LHCG Lxxvii, LLC Past Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine Past Accepting new patients
Pims S.C. Internal Medicine Past Accepting new patients

Locations

5037 E Broadway Rd
Mesa, AZ 85206
Phone (480) 924-4073

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8050 Meadow Rd
Dallas, TX 75231
Phone (214) 396-5260

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: mariana.tawadrous@57560418353156.direct.elationemr.com

Organizations & group practices 8

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521763200000",
    "number": "1881639029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "469-620-0811",
            "fax_number": "940-222-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E TRINITY MILLS RD STE 250",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061946",
            "telephone_number": "469-620-0811",
            "fax_number": "940-222-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWADROUS",
        "first_name": "MARIANA",
        "middle_name": "M.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2018-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R4484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANA",
            "last_name": "AGAIBY",
            "middle_name": "M.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.