1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Physician Assistant
  6. NPI Profile

MARIA PHAM RAVANZO PA
NPI 1366630675
Physician Assistant in Fort Worth, TX

Active since October 11, 2007PECOS Enrolled
93.65/100
CMS Quality Rating
816 W CANNON ST, FORT WORTH, TX 76104(817) 321-0937 Get Directions Write a Review

NPPES record last updated: November 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maria Pham Ravanzo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA PHAM RAVANZO PA (NPI 1366630675) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA04412) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Jps Health Network, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1366630675
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIA PHAM RAVANZOCredential: PA
Location Address816 W CANNON STFort Worth, TX 76104-3146
Mailing Address815 Pennsylvania AveFort Worth, TX 76104-2224 · (817) 321-0937
Phone(817) 321-0937
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateOctober 11, 2007
Last NPPES UpdateNovember 25, 2015
✔ NPI 1366630675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA04412
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
816 W CANNON ST, Fort Worth, TX 76104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Pham Ravanzo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729163142
PECOS Enrollment IDI20080310000603
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Drainage of fluid from abdominal cavity using imaging guidance 49083
This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.
34 services27 patients
Aspiration of fluid from chest cavity using imaging guidance 32555
This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jps Health Network

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450039
Location1500 S Main StFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Baylor Scott & White All Saints Medical Center Fort Worth

Acute Care Hospitals · Fort Worth, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450137
Location1400 Eighth AveFort Worth, TX 76104 · Tarrant County
Birthing friendly

Baylor Scott & White Medical Center Grapevine

Acute Care Hospitals · Grapevine, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450563
Location1650 W College StGrapevine, TX 76051 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.53
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM ROLLINS HOOT MD
Radiology (Diagnostic Radiology)
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0312
BRILYN AKERLEY PA-C
Physician Assistant
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0404
DR. MOHAMMAD TOLIYAT M.D.
Radiology (Vascular & Interventional Radiology)
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0938
ALEXANDER SMITH
Physician Assistant
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0404
KARA LEANNE WILLIAMS AGACNP
Nurse Practitioner (Critical Care Medicine)
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0404
DR. ADEKA D MCINTOSH M.D.
Radiology (Diagnostic Radiology)
816 W CANNON ST, 9TH FLOOR
FORT WORTH, TX 76104
Tarrant County (817) 321-0387
DR. STEVEN MARK SCHULTZ MD
Radiology (Diagnostic Radiology)
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0312
DR. RICHARD STEPHEN PICKERING MD
Radiology (Diagnostic Radiology)
816 W CANNON ST
FORT WORTH, TX 76104
Tarrant County (817) 321-0312

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Ravanzo's NPI number?

The NPI number for Maria Ravanzo is 1366630675. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Maria Ravanzo located?

Maria Ravanzo practices at 816 W Cannon St, Fort Worth, TX 76104. The listed phone number is (817) 321-0937.

What is Maria Ravanzo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Ravanzo enrolled in Medicare?

Yes. Maria Ravanzo is registered in the Medicare PECOS enrollment system.

What insurance does Maria Ravanzo accept?

Health plans from Baylor Scott and White Health Plan list Maria Ravanzo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maria Ravanzo affiliated with any hospitals?

According to CMS data, Maria Ravanzo is affiliated with Jps Health Network, Texas Health Harris Methodist Hospital Fort Worth, Baylor Scott & White All Saints Medical Center Fort Worth and Baylor Scott & White Medical Center Grapevine.

When was this NPI record last updated?

The NPPES record for Maria Ravanzo was last updated on November 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.