CARDIOLOGY AND ELECTROPHYSIOLOGY CLINIC FORT WORTH PC
NPI 1215704291
Internal Medicine - Clinical Cardiac Electrophysiology in Fort Worth, TX
About Cardiology And Electrophysiology Clinic Fort Worth Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARDIOLOGY AND ELECTROPHYSIOLOGY CLINIC FORT WORTH PC (NPI 1215704291) is a healthcare organization registered as a clinical cardiac electrophysiology in Fort Worth, Texas and active in the NPI registry since December 2023. The organization holds a CLIA Waiver certificate valid through February 11, 2028 and lists Tameka Middlebrooks, Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Cardiology And Electrophysiology Clinic Fort Worth Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Cardiology And Electrophysiology Clinic Fort Worth PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 45D2298955
Cardiology And Electrophysiology Clinic Fort Worth PC · Fort Worth, TXFrequently 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 Cardiology And Electrophysiology Clinic Fort Worth PC's NPI number?
The NPI number for Cardiology And Electrophysiology Clinic Fort Worth PC is 1215704291. It was assigned to this organization in the NPPES registry on December 8, 2023.
Where is Cardiology And Electrophysiology Clinic Fort Worth PC located?
Cardiology And Electrophysiology Clinic Fort Worth PC is located at 1001 12th Ave Ste 134, Fort Worth, TX 76104. The listed phone number is (817) 368-6480.
What is Cardiology And Electrophysiology Clinic Fort Worth PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.
Is Cardiology And Electrophysiology Clinic Fort Worth PC enrolled in Medicare?
Yes. Cardiology And Electrophysiology Clinic Fort Worth PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Cardiology And Electrophysiology Clinic Fort Worth PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Cardiology And Electrophysiology Clinic Fort Worth PC. 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 Nurse Practitioner (3) and Cardiac Electrophysiology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Cardiology And Electrophysiology Clinic Fort Worth PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2298955) is associated with this NPI, valid through February 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Cardiology And Electrophysiology Clinic Fort Worth PC accept?
Health plans from Molina Healthcare and WellPoint list Cardiology And Electrophysiology Clinic Fort Worth PC 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 Cardiology And Electrophysiology Clinic Fort Worth PC was last updated on December 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Cardiology And Electrophysiology Clinic Fort Worth Pc · NPI 1215704291
Clinical Cardiac Electrophysiology organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since December 8, 2023.
## Identity
- **NPI:** 1215704291 (Entity type: Organization)
- **Enumerated:** December 8, 2023
- **Primary specialty:** Internal Medicine - Clinical Cardiac Electrophysiology · taxonomy 207RC0001X
- **Organization subpart:** No
- **Authorized official:** Tameka Middlebrooks, CREDENTIALING
## Practice location
- **Address:** 1001 12TH AVE STE 134, Fort Worth, TX 76104-3927
- **Phone:** (817) 368-6480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Cardiac Electrophysiology (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215704291) · Data from the CMS NPPES public registry.