NORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATES
NPI 1215007570
Internal Medicine in Euless, TX

Active since November 08, 2006
469 WESTPARK WAY, EULESS, TX 76040(817) 283-2888(817) 358-5511 Get Directions Write a Review

NPPES record last updated: February 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeast Tarrant Internal Medicine Associates NPPES

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

NORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATES (NPI 1215007570) is a healthcare organization registered as an internal medicine in Euless, Texas and active in the NPI registry since November 2006. The organization lists Stephen R Buksh, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1215007570
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST TARRANT INTERNAL MEDICINE ASSOCIATES
Location Address469 WESTPARK WAYEuless, TX 76040-3957
Mailing Address469 Westpark WayEuless, TX 76040-3957 · (817) 283-2888 · Fax (817) 358-5511
Fax(817) 358-5511
Organization SubpartNo
Authorized OfficialStephen R BukshManaging Partner · (817) 283-2888
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 16, 2011
✔ NPI 1215007570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
469 WESTPARK WAY, Euless, TX 76040

Other Identifiers 1

Medicare ID-Type Unspecified00T11ETX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Tarrant Internal Medicine Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040610000152Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Northeast Tarrant Internal Medicine Associates, which bills Medicare for the services they deliver. Of these, 9 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Internal Medicine11
Nurse Practitioner1

Clinicians, nearest first (12)

Internal Medicine
NPI 1427053396
469 WESTPARK WAY
Euless, TX 76040
(817) 283-2888
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1679578777
469 WESTPARK WAY
Euless, TX 76040
(817) 283-2888
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1356346746
469 WESTPARK WAY
Euless, TX 76040
(817) 358-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1750668448
469 WESTPARK WAY
Euless, TX 76040
(817) 283-2888
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1962407353
469 WESTPARK WAY
Euless, TX 76040
(817) 283-2888
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1245235621
479 WESTPARK WAY
Euless, TX 76040
(817) 358-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780620823
479 WESTPARK WAY
Euless, TX 76040
(817) 358-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1467457572
479 WESTPARK WAY
Euless, TX 76040
(817) 358-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1699203125
479 WESTPARK WAY
Euless, TX 76040
(817) 358-5500
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598716805
8740 MEDICAL CITY WAY
Fort Worth, TX 76177
(817) 358-5500
✔ PECOS✔ Accepts Medicare12 mi
Internal Medicine
NPI 1891784922
3100 NORTH TARRANT PARKWAY #104
Fort Worth, TX 76177
(817) 358-5500
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1760737969
1500 S MAIN ST
Fort Worth, TX 76104
(817) 702-3431
✔ PECOS✔ Accepts Medicare14 mi

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 Northeast Tarrant Internal Medicine Associates's NPI number?

The NPI number for Northeast Tarrant Internal Medicine Associates is 1215007570. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Northeast Tarrant Internal Medicine Associates located?

Northeast Tarrant Internal Medicine Associates is located at 469 Westpark Way, Euless, TX 76040. The listed phone number is (817) 283-2888.

What is Northeast Tarrant Internal Medicine Associates's specialty?

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

Is Northeast Tarrant Internal Medicine Associates enrolled in Medicare?

Yes. Northeast Tarrant Internal Medicine Associates is registered in the Medicare PECOS enrollment system.

When is Northeast Tarrant Internal Medicine Associates's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Northeast Tarrant Internal Medicine Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Northeast Tarrant Internal Medicine Associates. 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 Internal Medicine (11) and Nurse Practitioner (1). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Tarrant Internal Medicine Associates was last updated on February 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.