LAKSHMI SAMBATHKUMAR MD
NPI 1063657740
Internal Medicine in Fort Worth, TX

Q: What is Lakshmi Sambathkumar's NPI number?

The NPI number for Lakshmi Sambathkumar is 1063657740. It was assigned to this individual provider in the NPPES registry on December 9, 2008.

Q: What is Lakshmi Sambathkumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 09, 2008PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

1025 COLLEGE AVE, FORT WORTH, TX 76104(817) 871-9069 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lakshmi Sambathkumar Md NPPES

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

LAKSHMI SAMBATHKUMAR MD (NPI 1063657740) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (N1122) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1063657740

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLAKSHMI SAMBATHKUMARCredential: MD

Location Address1025 COLLEGE AVEFort Worth, TX 76104-3013

Mailing Address1300 W Terrell Ave Fl 2Fort Worth, TX 76104-2820 · (817) 820-4906 · Fax (817) 820-4815

Phone(817) 871-9069

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateDecember 9, 2008

Last NPPES UpdateJuly 19, 2021

NPPES CertifiedJuly 19, 2021

✔ NPI 1063657740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · N1122

Definition

A 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.

1025 COLLEGE AVE, Fort Worth, TX 76104

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Secondary Practice Location 1

Location 11300 W Terrell Ave Fl 2Fort Worth, TX 76104-2820 · Phone (817) 820-4906 · Fax (817) 820-4815

Other Identifiers 1

Medicaid203473802TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lakshmi Sambathkumar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800944711

PECOS Enrollment IDI20090504000331

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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

929 services310 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

256 services140 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

175 services164 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

141 services82 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

105 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

105 services102 patients

Hospital Affiliations CMS Care Compare 5

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

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

Medical City Fort Worth

Acute Care Hospitals · Fort Worth, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450672

Location900 Eighth AvenueFort Worth, TX 76104 · Tarrant County

Emergency services

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450677

Location11801 South FreewayBurleson, TX 76028 · Johnson County

Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450779

Location6100 Harris PkwyFort Worth, TX 76132 · 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

91.21

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%202 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

74%42 patients3/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

95%22 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

46%65 patients2/55-star benchmark: 95%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

DR. CEDRIC W. SPAK MD

Internal Medicine (Infectious Disease)