Active NPI
Mary-Ann Fares, MD
- Neurological Surgery Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- S2298
- Practice address
- 504 Medical Center Blvd
Conroe, TX 77304-2808 - Phone
- (678) 350-3405
- NPI assigned
- Jul 11, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 080724 | GA | |
| Neurological Surgery Physician | 207T00000X | S2298 | TX | Primary |
| Vascular Neurology Physician | 2084V0102X | S2298 | TX | |
| Vascular Neurology Physician | 2084V0102X | ME133189 | FL | |
| Neurological Surgery Physician | 207T00000X | MD-57378 | IA |
Addresses
Primary practice location
504 Medical Center Blvd
Conroe, TX 77304-2808
Mailing address
504 Medical Center Blvd
Conroe, TX 77304-2808
Other practice location 1
909 9th Ave Ste 201
Fort Worth, TX 76104-3916
Phone (972) 566-5411
Other practice location 2
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-9000
Other practice location 3
1401 Centerville Rd Ste 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115
Other practice location 4
1111 6th Ave Ste A100
Des Moines, IA 50314-2610
Phone (515) 358-0011
Other practice location 5
515 W Mayfield Rd Ste 407
Arlington, TX 76014-2085
Phone (972) 566-5411
Other practice location 6
1401 Centerville Rd Ste 300
Tallahassee, FL 32308-4639
Phone (850) 877-5115
Other practice location 7
475 Seaview Ave
Staten Island, NY 10305-3436
Phone (678) 350-3405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Medical Ctr Blvd
Suite 200
Conroe, TX 77304-2952
Phone (936) 760-4600
Hospital & facility affiliations
- HCA Houston Healthcare Conroe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME133189 | FL | MD | Vascular Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Georgia Physicians Group Inc | Neurological Surgery | Current | Accepting new patients |
| Tallahassee Neurological Clinic | Neurological Surgery | Current | Accepting new patients |
| Neuro-Hospitalist of Clear Lake, PLLC | Neurology | Current | Accepting new patients |
| Specialty Associates of West Houston PLLC | Past | Accepting new patients |
Locations
1401 Centerville Rd
Ste 300
Tallahassee, FL 32308
Phone (850) 877-5115
1400 River Pl
Braselton, GA 30517
Phone (770) 219-6000
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
508 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 760-4600
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
21212 Northwest Fwy
Ste 645A
Cypress, TX 77429
Phone (281) 894-5310
450 W Medical Center Blvd
Ste 600
Webster, TX 77598
Phone (281) 338-3270
500 W Medical Center Blvd
#C
Webster, TX 77598
Interoperability endpoints
- mary.fares@hca9.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Neurological Surgery
-
- Neurological Surgery Physician
- Tallahassee, FL
- NPI 1982660569
-
- Internal Medicine Physician
- Houston, TX
- NPI 1699062349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Conroe, TX
- NPI 1962455816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1962843441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "678-350-3405"
}
],
"practiceLocations": [
{
"address_1": "909 9th Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761043916",
"country_code": "US",
"telephone_number": "972-566-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "30501",
"country_code": "US",
"telephone_number": "770-219-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Centerville Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084639",
"country_code": "US",
"telephone_number": "850-877-5115",
"fax_number": "850-656-3645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 6th Ave Ste A100",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503142610",
"country_code": "US",
"telephone_number": "515-358-0011",
"fax_number": "515-358-0099",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "515 W Mayfield Rd Ste 407",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760142085",
"country_code": "US",
"telephone_number": "972-566-5411",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1401 Centerville Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323084639",
"country_code": "US",
"telephone_number": "850-877-5115",
"fax_number": "850-656-3645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Seaview Ave",
"address_purpose": "LOCATION",
"city": "Staten Island",
"state": "NY",
"postal_code": "103053436",
"country_code": "US",
"telephone_number": "678-350-3405",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARES",
"first_name": "MARY-ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-11",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "080724",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "S2298",
"primary": true
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "TX",
"license": "S2298",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "FL",
"license": "ME133189",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IA",
"license": "MD-57378",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.