1. Home
  2. Directory
  3. Texas
  4. Fort Worth
  5. Ophthalmology
  6. NPI Profile

ALLIANCE RETINA
NPI 1346787157
Ophthalmology - Retina Specialist in Fort Worth, TX

Active since January 31, 2017
3824 N TARRANT PKWY STE 310, FORT WORTH, TX 76244(817) 617-7678(817) 617-7681 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2020, Mar 17, 2018, Aug 24, 2017 and 1 more (4 updates tracked since 2017).

About Alliance Retina NPPES

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

ALLIANCE RETINA (NPI 1346787157) is a healthcare organization registered as a retina specialist in Fort Worth, Texas and active in the NPI registry since January 2017. The organization maintains a secondary practice location in Arlington and lists Kim-binh Thi Mai, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346787157
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameALLIANCE RETINA OF TEXAS, PLLC
Location Address3824 N TARRANT PKWY STE 310Fort Worth, TX 76244-5431
Mailing Address3824 N Tarrant Pkwy Ste 310Fort Worth, TX 76244-5431 · (817) 617-7678 · Fax (817) 617-7681
Phone(817) 617-7678
Fax(817) 617-7681
Organization SubpartNo
Authorized OfficialKim-binh Thi MaiCeo · (817) 617-7678
Enumeration DateJanuary 31, 2017
Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1346787157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in TX · Q4189
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
3824 N TARRANT PKWY STE 310, Fort Worth, TX 76244
Open in Google Maps ↗

Other Names 1

Doing Business AsAlliance Retina

Secondary Practice Location 1

Location 11007 West Randol Mill Road, Suite 110Arlington, TX 76012 · Phone (817) 715-8024

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

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alliance Retina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Alliance Retina, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Kim Binh Mai, MD
Ophthalmology
NPI 1538450721
3824 N TARRANT PKWY STE 310
Fort Worth, TX 76244
(817) 617-7678
✔ PECOS✔ Accepts MedicareSame address
Keerthana Bolisetty, MD
Ophthalmology
NPI 1407241284
1007 W RANDOL MILL RD STE 110
Arlington, TX 76012
(817) 617-7678
✔ PECOS✔ Accepts Medicare15 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 Alliance Retina Of Texas, PLLC's NPI number?

The NPI number for Alliance Retina Of Texas, PLLC is 1346787157. It was assigned to this organization in the NPPES registry on January 31, 2017. The provider is doing business as Alliance Retina.

Where is Alliance Retina Of Texas, PLLC located?

Alliance Retina Of Texas, PLLC is located at 3824 N Tarrant Pkwy Ste 310, Fort Worth, TX 76244. The listed phone number is (817) 617-7678.

What is Alliance Retina Of Texas, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Alliance Retina Of Texas, PLLC enrolled in Medicare?

Yes. Alliance Retina Of Texas, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alliance Retina Of Texas, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Alliance Retina Of Texas, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Alliance Retina Of Texas, PLLC 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 2 other insurers list Alliance Retina Of Texas, PLLC 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 Alliance Retina Of Texas, PLLC was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.