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CARDIOLOGY AND ELECTROPHYSIOLOGY CLINIC FORT WORTH PC
NPI 1215704291
Internal Medicine - Clinical Cardiac Electrophysiology in Fort Worth, TX

Active since December 08, 2023CLIA 45D2298955 · Waiver
1001 12TH AVE STE 134, FORT WORTH, TX 76104(817) 368-6480 Get Directions Write a Review

NPPES record last updated: December 8, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1215704291
Entity TypeOrganization
Primary Taxonomy207RC0001X
Legal Business NameCARDIOLOGY AND ELECTROPHYSIOLOGY CLINIC FORT WORTH PC
Location Address1001 12TH AVE STE 134Fort Worth, TX 76104-3927
Mailing Address1001 12th Ave Ste 134Fort Worth, TX 76104-3927
Phone(817) 368-6480
Organization SubpartNo
Authorized OfficialTameka MiddlebrooksCredentialing · (682) 239-9532
Enumeration DateDecember 8, 2023
NPPES CertifiedDecember 8, 2023
✔ NPI 1215704291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
1001 12TH AVE STE 134, Fort Worth, TX 76104
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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

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 ›

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, TX
Active · expires Feb 11, 2028
CLIA Number45D2298955
Laboratory TypePhysician Office
Certificate Effective DateFebruary 12, 2026
Certificate Expiration DateFebruary 11, 2028
Laboratory DirectorSyed N. Shah
Laboratory Phone(817) 880-6620
Laboratory LocationCardiology And Electrophysiology Clinic Fort Worth PC1001 12th Avenue Ste 134, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

ZHU SU
Physician Assistant
1001 12TH AVE STE 134
FORT WORTH, TX 76104
Tarrant County (817) 880-6620
SYED NAYYAR SHAH MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1001 12TH AVE STE 134
FORT WORTH, TX 76104
Tarrant County (817) 880-6620
KESIA SILVA
Nurse Practitioner (Acute Care)
1001 12TH AVE STE 134
FORT WORTH, TX 76104
Tarrant County (817) 880-6620

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 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.

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 Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers 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.