DR. PREETHI PRAKASH M.D
NPI 1407048358
Internal Medicine in Fort Worth, TX

Active since August 14, 2007PECOS EnrolledAccepts Medicare Assignment
1300 W TERRELL AVE STE K230, FORT WORTH, TX 76104(817) 250-4906 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 30, 2023, Sep 18, 2018 (2 updates tracked since 2018).

About Dr. Preethi Prakash M.d NPPES

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

DR. PREETHI PRAKASH M.D (NPI 1407048358) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (Q8126) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Medical City Alliance, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407048358
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PREETHI PRAKASHCredential: M.D
Location Address1300 W TERRELL AVE STE K230Fort Worth, TX 76104-3104
Mailing Address11801 South FwyBurleson, TX 76028-7021
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 14, 2007
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
NPI 1407048358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · Q8126
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1300 W TERRELL AVE STE K230, Fort Worth, TX 76104

Secondary Practice Locations 2

Location 11400 W 22nd StSioux Falls, SD 57105-1505 · Phone (605) 357-1300
Location 211801 South FwyBurleson, TX 76028-7021 · Phone (817) 568-5955

Accepted 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

Dr. Preethi Prakash M.d 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 ID3870774524
PECOS Enrollment IDI20180829003024
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 2024 & 2026 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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services16 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
22 services15 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$61.57 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier18 claims18 services$32.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Nurse Practitioner (Family)
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104
Internal Medicine
1300 W TERRELL AVE STE K230
FORT WORTH, TX 76104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407048358, enumerated as an "individual" on August 14, 2007.

The provider is located at 1300 W TERRELL AVE STE K230 FORT WORTH, TX 76104 and the phone number is (817) 250-4906.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Oscar. Please consult your insurance carrier or call the provider to verify.

Preethi Prakash is affiliated with: MEDICAL CITY ALLIANCE.