FORTWORTH RENAL GROUP PA
NPI 1033560222
Internal Medicine - Nephrology in Fort Worth, TX

Active since June 28, 2016CLIA 45D2253165 · Waiver
1902 WINDSOR PL STE 102, FORT WORTH, TX 76110(682) 207-1700(682) 250-5246 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 23, 2024, Mar 25, 2021, Feb 22, 2021 and 2 more (5 updates tracked since 2016).

About Fortworth Renal Group Pa NPPES

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

FORTWORTH RENAL GROUP PA (NPI 1033560222), doing business as Kidney And Hypertension Specialists Of Fort Worth, is a healthcare organization registered as a nephrology in Fort Worth, Texas and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through February 16, 2028, maintains 6 additional practice locations, and lists Oladapo Afolabi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033560222
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFORTWORTH RENAL GROUP PA
Location Address1902 WINDSOR PL STE 102Fort Worth, TX 76110-1866
Mailing Address1902 Windsor Pl Ste 102Fort Worth, TX 76110-1866 · (682) 207-1700 · Fax (682) 250-5246
Fax(682) 250-5246
Organization SubpartNo
Authorized OfficialOladapo AfolabiCeo · (817) 360-6081
Enumeration DateJune 28, 2016
Last NPPES UpdateOctober 24, 20255 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1033560222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1902 WINDSOR PL STE 102, Fort Worth, TX 76110

Other Names 1

Former Legal Business NameKidney And Hypertension Specialists Of Fort Worth

Secondary Practice Locations 6

Location 14351 Booth Calloway Rd Ste 404North Richland Hills, TX 76180-7381 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 2101 Crown Pointe Blvd Ste 340Willow Park, TX 76087-1197 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 36312 Azle AveLake Worth, TX 76135-2442 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 411803 South Fwy Ste 201Burleson, TX 76028-7029 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 510840 Texas Health Trl Ste 200Fort Worth, TX 76244-6848 · Phone (682) 207-1700 · Fax (682) 250-5246
Location 65901 S Hulen St Ste BFort Worth, TX 76132-2687 · Phone (682) 207-1700 · Fax (682) 250-5246

Other Identifiers 1

Medicaid1033560222TX

Group Practice 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortworth Renal Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

20

Medicare enrollment records show 20 clinicians reassign Medicare billing to Fortworth Renal Group PA, which bills Medicare for the services they deliver. Of these, 19 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nephrology13
Nurse Practitioner7

Clinicians, nearest first (20)

Nephrology
NPI 1780658559
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1588656391
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1487068326
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1184079865
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1114918356
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558189613
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1134391733
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1699121525
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508595448
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1699237693
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821635814
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1194901330
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205599404
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1457526832
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1225657000
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOSSame address
Nephrology
NPI 1093707887
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1265992325
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295402063
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1699536730
1902 WINDSOR PL STE 102
Fort Worth, TX 76110
(682) 207-1700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760153126
8200 MATLOCK RD STE 160
Arlington, TX 76002
(817) 678-6449
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2253165

Fort Worth Renal Group · Fort Worth, TX
Active · expires Feb 16, 2028
CLIA Number45D2253165
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorAfolabi Oladapo
Laboratory Phone(682) 207-1700
Laboratory LocationFort Worth Renal Group1902 Windsor Place Suite 102, Fort Worth, TX 76110
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Fortworth Renal Group PA's NPI number?

The NPI number for Fortworth Renal Group PA is 1033560222. It was assigned to this organization in the NPPES registry on June 28, 2016. The provider was formerly known as Kidney and hypertension specialists of Fort Worth.

Where is Fortworth Renal Group PA located?

Fortworth Renal Group PA is located at 1902 Windsor Pl Ste 102, Fort Worth, TX 76110. The listed phone number is (682) 207-1700.

What is Fortworth Renal Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fortworth Renal Group PA enrolled in Medicare?

Yes. Fortworth Renal Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fortworth Renal Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 2 Medicare specialties reassign their Medicare billing to Fortworth Renal Group PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (13) and Nurse Practitioner (7). Of these, 19 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Fortworth Renal Group PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2253165) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fortworth Renal Group PA accept?

Health plans from Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Fortworth Renal Group PA 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.

When was this NPI record last updated?

The NPPES record for Fortworth Renal Group PA was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.