NORTH TARRANT HEALTH PROVIDERS PLLC
NPI 1063906964
Surgery in Fort Worth, TX

Q: What is North Tarrant Health Providers PLLC's NPI number?

The NPI number for North Tarrant Health Providers PLLC is 1063906964. It was assigned to this organization in the NPPES registry on June 14, 2018.

Q: What is North Tarrant Health Providers PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since June 14, 2018

3025 N TARRANT PKWY STE 100, FORT WORTH, TX 76177(817) 717-5268(817) 717-8021 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2019, Jun 14, 2018 (2 updates tracked since 2018).

On this page

About North Tarrant Health Providers Pllc NPPES

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

NORTH TARRANT HEALTH PROVIDERS PLLC (NPI 1063906964) is a healthcare organization registered as a surgery in Fort Worth, Texas and active in the NPI registry since June 2018. The organization lists Balaguru Sambandam, Owner, as its authorized official.

NPPES Registry Identity

NPI1063906964

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameNORTH TARRANT HEALTH PROVIDERS PLLC

Location Address3025 N TARRANT PKWY STE 100Fort Worth, TX 76177-8625

Mailing Address1540 Keller Pkwy Ste 108-249Keller, TX 76248-3686 · (817) 717-5268 · Fax (817) 717-8021

Phone(817) 717-5268

Fax(817) 717-8021

Organization SubpartNo

Authorized OfficialBalaguru SambandamOwner · (817) 717-5268

Enumeration DateJune 14, 2018

Last NPPES UpdateJanuary 17, 20192 updates tracked since enumeration

✔ NPI 1063906964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

3025 N TARRANT PKWY STE 100, Fort Worth, TX 76177

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Tarrant Health Providers Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to North Tarrant Health Providers PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Balaguru Sambandam, M.D.

General Surgery

NPI 1265694731

3025 N TARRANT PKWY STE 100
Fort Worth, TX 76177

(817) 717-5268

✔ PECOSSame address

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

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 North Tarrant Health Providers PLLC's NPI number?

The NPI number for North Tarrant Health Providers PLLC is 1063906964. It was assigned to this organization in the NPPES registry on June 14, 2018.

Where is North Tarrant Health Providers PLLC located?

North Tarrant Health Providers PLLC is located at 3025 N Tarrant Pkwy Ste 100, Fort Worth, TX 76177. The listed phone number is (817) 717-5268.

What is North Tarrant Health Providers PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is North Tarrant Health Providers PLLC enrolled in Medicare?

Yes. North Tarrant Health Providers PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Tarrant Health Providers PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to North Tarrant Health Providers PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Tarrant Health Providers PLLC was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.