MARIA PHAM RAVANZO (PA) – Physician Assistant, NPI 1366630675

MARIA PHAM RAVANZO (PA) is a healthcare provider. based in Fort worth, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA04412 (TX). The NPI Number for MARIA PHAM RAVANZO (PA) is 1366630675

Main info

Female
22 Years Of Experience
Name
MARIA PHAM RAVANZO (PA)
NPI
1366630675
Phone
(817) 321-0937
Address
815 PENNSYLVANIA AVE
Enumeration Date
11 October 2007
Last Update Date
25 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8173210937
Graduation Year
2004 (22 years ago)
PAC ID
8729163142
Group Practice PAC ID
7911897301
Professional Enrollment ID
I20080310000603
Address ID
TX752876817DA17980PKWY302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MARIA PHAM RAVANZO (PA)

  • 815, Pennsylvania Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042224

    Phone: (817) 321-0937

    Type: Mailing

  • 816, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761043146

    Phone: (817) 321-0937

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $322.

Total Amount is formed as General ($322) + Research ($0) + Ownership ($0) = $322.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Sirtex Medical Inc ($147).

Total Amount

$322

General + Research + Ownership

Payments

5

Total payment records

General Amount

$322

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080310000603IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
49083Drainage of fluid from abdominal cavity using imaging guidance5529$0
32555Aspiration of fluid from chest cavity using imaging guidance3226$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1919$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes1717$0
38222Biopsy and aspiration of bone marrow sample for diagnosis1616$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911897301View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Nuclear Medicine, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
-TX
Interventional Radiology, Diagnostic RadiologyTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Can I verify MARIA PHAM RAVANZO (PA) with an NPI only?
You can start verification with NPI 1366630675 for MARIA PHAM RAVANZO (PA), then check state licensing separately.
Does the file indicate MARIA PHAM RAVANZO (PA) is practicing under active NPI?
Directory data currently reports MARIA PHAM RAVANZO (PA) as active.
What healthcare role does MARIA PHAM RAVANZO (PA) hold?
Scheduling teams often label MARIA PHAM RAVANZO (PA) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MARIA PHAM RAVANZO (PA) on a map?
Expect Fort Worth, Texas as a primary anchor for MARIA PHAM RAVANZO (PA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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