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BALAGURU KOLANDAVELO SAMBANDAM M.D.
NPI 1265694731
Surgery in Fort Worth, TX

Active since June 26, 2008PECOS Enrolled
75.27/100
CMS Quality Rating
3025 N TARRANT PKWY STE 100, FORT WORTH, TX 76177(817) 717-5268(817) 717-8021 Get Directions Write a Review

NPPES record last updated: January 17, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2019, Nov 14, 2018, Dec 31, 2015 (3 updates tracked since 2015).

About Balaguru Kolandavelo Sambandam M.d. NPPES

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

BALAGURU KOLANDAVELO SAMBANDAM M.D. (NPI 1265694731) is an individual surgery provider in Fort Worth, Texas, licensed in Texas (P5128) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2008).

NPPES Registry Identity

NPI1265694731
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBALAGURU KOLANDAVELO SAMBANDAMCredential: M.D.
Location Address3025 N TARRANT PKWY STE 100Fort Worth, TX 76177-8625
Mailing Address1540 Keller Pkwy # 108-249Keller, TX 76248-3686 · (817) 717-5268 · Fax (817) 717-8021
Phone(817) 717-5268
Fax(817) 717-8021
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2008
Enumeration DateJune 26, 2008
Last NPPES UpdateJanuary 17, 20193 updates tracked since enumeration
✔ NPI 1265694731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · P5128
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3025 N TARRANT PKWY STE 100, Fort Worth, TX 76177
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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 ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balaguru Kolandavelo Sambandam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426291501
PECOS Enrollment IDI20130821000966
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 Reassignments

2

Medicare enrollment records show Balaguru Sambandam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Tarrant Health Providers PLLC
Same address
Surgery
3025 N TARRANT PKWY STE 100
Fort Worth, TX 76177
  • Reassigned Medicare billing, Texas enrollment
NPI 1063906964 (817) 717-5268
Texas Health Physicians Group
11 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
31 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services22 patients
Removal of gallbladder with x-ray study of bile ducts using an endoscope 47563
This procedure, known as an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible camera (endoscope) to examine your bile ducts. If gallstones are found, your gallbladder may be removed in a separate procedure. This helps prevent future complications.
12 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Stephenvill

Acute Care Hospitals · Stephenville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450351
Location411 N Belknap StStephenville, TX 76401 · Erath County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Azle

Acute Care Hospitals · Azle, TX
OwnershipVoluntary non-profit - Church
CMS Certification Number450419
Location108 Denver TrailAzle, TX 76020 · Tarrant County
Emergency services

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 76177 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Other Providers at the Same Location NPPES

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

NORTH TARRANT HEALTH PROVIDERS PLLC
Surgery
3025 N TARRANT PKWY STE 100
FORT WORTH, TX 76177
Tarrant County (817) 717-5268

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 Balaguru Sambandam's NPI number?

The NPI number for Balaguru Sambandam is 1265694731. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Balaguru Sambandam located?

Balaguru Sambandam practices at 3025 N Tarrant Pkwy Ste 100, Fort Worth, TX 76177. The listed phone number is (817) 717-5268.

What is Balaguru Sambandam's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Balaguru Sambandam enrolled in Medicare?

Yes. Balaguru Sambandam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Balaguru Sambandam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Balaguru Sambandam reassigns Medicare benefits to 2 organizations: North Tarrant Health Providers PLLC (Fort Worth, TX) and Texas Health Physicians Group (Fort Worth, TX). Each 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 Balaguru Sambandam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Balaguru Sambandam 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 Balaguru Sambandam 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 Balaguru Sambandam affiliated with any hospitals?

According to CMS data, Balaguru Sambandam is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Texas Health Harris Methodist Hospital Stephenvill, Texas Health Harris Methodist Hospital Azle and Medical City Alliance.

When was this NPI record last updated?

The NPPES record for Balaguru Sambandam was last updated on January 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.