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KRISTAL L WOLDU M.D.
NPI 1134446073
Pediatrics - Pediatric Cardiology in Fort Worth, TX

Active since May 03, 2010PECOS EnrolledAccepts Medicare Assignment
1500 COOPER ST, FORT WORTH, TX 76104(682) 885-4197 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Apr 12, 2021, Jul 14, 2017 (3 updates tracked since 2017).

About Kristal L Woldu M.d. NPPES

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

KRISTAL L WOLDU M.D. (NPI 1134446073) is an individual pediatric cardiology provider in Fort Worth, Texas, licensed in Texas (Q9093) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Cook Childrens Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1134446073
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameKRISTAL L WOLDUCredential: M.D.
Location Address1500 COOPER STFort Worth, TX 76104-2710
Mailing AddressPo Box 733784Dallas, TX 75373-3784 · (682) 885-6163
Phone(682) 885-4197
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 3, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1134446073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · Q9093
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
1500 COOPER ST, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristal Larsen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristal L Woldu M.d. 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 ID5294003885
PECOS Enrollment IDI20170623000528
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.

Medicare Billing Reassignment

Medicare enrollment records show Kristal Woldu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cook Children's Physician Network
0.2 mi
Pediatrics
801 7TH AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Cook Childrens Physician Network
  • 1,186 clinicians in this Medicare group
NPI 1083472062 (682) 885-6483

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

Hospital Affiliations CMS Care Compare

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

Cook Childrens Medical Center

Childrens · Fort Worth, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453300
Location801 Seventh AvenueFort Worth, TX 76104 · Tarrant County
Emergency services

Other Providers at the Same Location NPPES 20

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

KATRINA L WILLIE-MUSOMA MD
Pediatrics (Neurodevelopmental Disabilities)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 303-9300
SCHARLYN R HENDERSON LCSW
Social Worker (Clinical)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-1475
GREGORY BARKER
Pediatrics (Pediatric Cardiology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2140
DR. ELORA PATTANAIK CORBIN M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
SHANE KELLEHER PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-7840
BENJAMIN CRAIG PA-C
Physician Assistant
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-2500
DR. SHAILENDRA DAS D.O.
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299
JAMES C CUNNINGHAM MD
Pediatrics (Pediatric Pulmonology)
1500 COOPER ST
FORT WORTH, TX 76104
Tarrant County (682) 885-6299

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 Kristal Woldu's NPI number?

The NPI number for Kristal Woldu is 1134446073. It was assigned to this individual provider in the NPPES registry on May 3, 2010. The provider is also known as Kristal Larsen.

Where is Kristal Woldu located?

Kristal Woldu practices at 1500 Cooper St, Fort Worth, TX 76104. The listed phone number is (682) 885-4197.

What is Kristal Woldu's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Kristal Woldu enrolled in Medicare?

Yes. Kristal Woldu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kristal Woldu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristal Woldu reassigns Medicare benefits to Cook Children's Physician Network (Fort Worth, TX). The 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 Kristal Woldu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristal Woldu accept?

Health plans from Baylor Scott and White Health Plan and Imperial Insurance Companies, Inc. list Kristal Woldu 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.

Is Kristal Woldu affiliated with any hospitals?

According to CMS data, Kristal Woldu is affiliated with Cook Childrens Medical Center.

When was this NPI record last updated?

The NPPES record for Kristal Woldu was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.