ASSOCIATES OF INTERNAL MEDICINE NPI 1023146594

Internal Medicine in Fort Worth, TX

About ASSOCIATES OF INTERNAL MEDICINE

Associates Of Internal Medicine is a provider in Fort Worth, TX. The NPI number assigned to this provider is 1023146594. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an organization and their NPI record was last updated 8 years ago. Associates Of Internal Medicine operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1023146594 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameASSOCIATES OF INTERNAL MEDICINE
Provider Location Address2260 COLLEGE AVE FORT WORTH, TX 76110 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 12056 FORT WORTH, TX 76110 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date02-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date02-15-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ASSOCIATES OF INTERNAL MEDICINE
2260 COLLEGE AVE
FORT WORTH, TX
ZIP 76110
Phone: (817) 870-3627
Fax: (817) 870-3636
Get Directions

Mailing Address

ASSOCIATES OF INTERNAL MEDICINE
PO BOX 12056
FORT WORTH, TX
ZIP 76110
Phone: (817) 870-3627
Fax: (817) 870-3636

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.L8281
License StateTX
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Authorized Official

Authorized Official NameDR. PAVANI BELLARY D.O. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePHYSICIAN, OWNER
Authorized Official Phone(817) 870-3627

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1765463MEDICAID (05)TX
00684XMEDICARE ID-TYPE UNSPECIFIED (04)TX

Map Location


ASSOCIATES OF INTERNAL MEDICINE address is 2260 COLLEGE AVE FORT WORTH, TX 76110

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043517402 AASIA DAUD JANJUA MD
Individual
Internal Medicine2260 COLLEGE AVE
FORT WORTH, TX 76110
(817) 870-3627
1083045041BROOKS SURGERY CLINIC, PLLC
Organization
Surgery2260 COLLEGE AVE
FORT WORTH, TX 76110
(817) 870-0172
1730186230DR. NIRAJ MAHENDRA MEHTA D.O.
Individual
Internal Medicine2260 COLLEGE AVE
FORT WORTH, TX 76110
(817) 870-3627
1780133512INTERNAL MEDICINE CARE GROUP
Organization
Internal Medicine2260 COLLEGE AVE
FORT WORTH, TX 76110
(817) 870-3627
1841297330DR. PAVANI BELLARY D.O.
Individual
Internal Medicine2260 COLLEGE AVE
FORT WORTH, TX 76110
(817) 870-3627