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HEART CENTER OF NORTH TEXAS
NPI 1396762357
Internal Medicine - Cardiovascular Disease in Fort Worth, TX

Active since July 16, 2006CLIA Certified · 3 labs
1017 12TH AVE, FORT WORTH, TX 76104(817) 334-2800(817) 820-0094 Get Directions Write a Review

NPPES record last updated: June 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heart Center Of North Texas NPPES

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

HEART CENTER OF NORTH TEXAS (NPI 1396762357) is a healthcare organization registered as a cardiovascular disease in Fort Worth, Texas and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists Sydney Madden, Administrator, as its authorized official.

NPPES Registry Identity

NPI1396762357
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameHEART CENTER OF NORTH TEXAS, PA
Location Address1017 12TH AVEFort Worth, TX 76104-3915
Mailing Address1017 12th AveFort Worth, TX 76104-3915 · (817) 334-2800 · Fax (817) 820-0094
Phone(817) 334-2800
Fax(817) 820-0094
Organization SubpartNo
Authorized OfficialSydney MaddenAdministrator · (817) 334-2800
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 22, 2021
NPPES CertifiedJune 22, 2021
✔ NPI 1396762357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
1017 12TH AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Names 1

Doing Business AsHeart Center Of North Texas

Other Identifiers 3

Other00455KTX · Blue Cross Blue Shield
Other5930155TX · Aetna Group
Medicaid109377504TX

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 3

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 45D1011918

Heart Center Of North Texas, PA · Fort Worth, TX
Active · expires Dec 10, 2027
CLIA Number45D1011918
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorAleem Mughal
Laboratory Phone(817) 334-2800
Laboratory LocationHeart Center Of North Texas, PA1017 12th Avenue, Fort Worth, TX 76104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1011916

Heart Center Of North Texas · Weatherford, TX
Active · expires Apr 27, 2027
CLIA Number45D1011916
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorElizabeth Romero
Laboratory Phone(817) 334-2800
Laboratory LocationHeart Center Of North Texas920 Hilltop Dr, Weatherford, TX 76086
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D1011920

Heart Center Of North Texas, PA · Granbury, TX
Active · expires Apr 27, 2027
CLIA Number45D1011920
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorElizabeth Romero
Laboratory Phone(817) 334-2800
Laboratory LocationHeart Center Of North Texas, PA1200 Crawford Ave, Granbury, TX 76048
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

DANIELLE L KING PA-C
Physician Assistant
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
DR. HENRY P LOBSTEIN M.D.
Internal Medicine (Cardiovascular Disease)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
TRACY LINN EISENHAUER DILLEY NP
Nurse Practitioner (Family)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
DR. SEYED MOHAMMAD MEHDI KHALAFI M.D.
Internal Medicine (Interventional Cardiology)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
DR. FARHAN ALI M.D.
Internal Medicine (Interventional Cardiology)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
DR. AKIF AZMI MOHAMMED MD
Internal Medicine (Interventional Cardiology)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
CARRIE S PLATT ARNP
Nurse Practitioner
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800
MRS. SAVANNAH DELAURENTIS-RUIZ AGACNP
Nurse Practitioner (Acute Care)
1017 12TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 334-2800

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 Heart Center Of North Texas, PA's NPI number?

The NPI number for Heart Center Of North Texas, PA is 1396762357. It was assigned to this organization in the NPPES registry on July 16, 2006. The provider is doing business as Heart Center Of North Texas.

Where is Heart Center Of North Texas, PA located?

Heart Center Of North Texas, PA is located at 1017 12th Ave, Fort Worth, TX 76104. The listed phone number is (817) 334-2800.

What is Heart Center Of North Texas, PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Heart Center Of North Texas, PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Heart Center Of North Texas, PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Heart Center Of North Texas, PA 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 Heart Center Of North Texas, PA was last updated on June 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.