PAULOME SRIVASTAVA
NPI 1235880436
Physician Assistant in Fort Worth, TX

Q: What is Paulome Srivastava's NPI number?

The NPI number for Paulome Srivastava is 1235880436. It was assigned to this individual provider in the NPPES registry on January 10, 2022.

Q: What is Paulome Srivastava's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 10, 2022PECOS EnrolledAccepts Medicare Assignment

900 8TH AVE, FORT WORTH, TX 76104(254) 592-5114 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paulome Srivastava NPPES

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

PAULOME SRIVASTAVA (NPI 1235880436) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA17081) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Medical City Alliance, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235880436

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NamePAULOME SRIVASTAVA

Location Address900 8TH AVEFort Worth, TX 76104-3902

Mailing AddressPo Box 8043Spring, TX 77387-8043

Phone(254) 592-5114

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 10, 2022

Last NPPES UpdateSeptember 14, 2023

NPPES CertifiedSeptember 14, 2023

✔ NPI 1235880436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA17081

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

900 8TH AVE, Fort Worth, TX 76104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Paulome Srivastava 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 ID2567818636

PECOS Enrollment IDI20231025002664

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

49 services48 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

34 services29 patients

Hospital Affiliations CMS Care Compare

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

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670103

Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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