FORT WORTH PRIMARY CARE, PLLC
NPI 1417458068
Internal Medicine in Fort Worth, TX

Active since February 27, 2018
800 8TH AVE STE 626, FORT WORTH, TX 76104(817) 243-7995(844) 573-3209 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2020, May 14, 2018, Feb 27, 2018 (3 updates tracked since 2018).

About Fort Worth Primary Care, Pllc NPPES

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

FORT WORTH PRIMARY CARE, PLLC (NPI 1417458068) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since February 2018. The organization lists Morvarid Rezaie, Physician, as its authorized official.

NPPES Registry Identity

NPI1417458068
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT WORTH PRIMARY CARE, PLLC
Location Address800 8TH AVE STE 626Fort Worth, TX 76104-2605
Mailing Address800 8th Ave Ste 626Fort Worth, TX 76104-2605 · (817) 243-7995 · Fax (817) 717-9494
Fax(844) 573-3209
Organization SubpartNo
Authorized OfficialMorvarid RezaiePhysician · (817) 243-7995
Enumeration DateFebruary 27, 2018
Last NPPES UpdateJuly 14, 20203 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1417458068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M8951
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.
800 8TH AVE STE 626, Fort Worth, TX 76104

Other Identifiers 2

Other1164692026TX · Npi
Medicaid1765463TX

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Worth Primary Care, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Fort Worth Primary Care, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1164692026
800 W MAGNOLIA AVE
Fort Worth, TX 76104
(817) 759-7000
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1740261114
4400 OAK PARK LN
Fort Worth, TX 76109
(817) 985-7772
✔ PECOS✔ Accepts Medicare3.1 mi
Family Practice
NPI 1487889705
4160 HERITAGE TRACE PKWY
Fort Worth, TX 76244
(682) 207-5706
✔ PECOS✔ Accepts Medicare13 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 Fort Worth Primary Care, PLLC's NPI number?

The NPI number for Fort Worth Primary Care, PLLC is 1417458068. It was assigned to this organization in the NPPES registry on February 27, 2018.

Where is Fort Worth Primary Care, PLLC located?

Fort Worth Primary Care, PLLC is located at 800 8th Ave Ste 626, Fort Worth, TX 76104. The listed phone number is (817) 243-7995.

What is Fort Worth Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Fort Worth Primary Care, PLLC enrolled in Medicare?

Yes. Fort Worth Primary Care, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Worth Primary Care, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fort Worth Primary Care, PLLC, in Family Practice and Internal Medicine. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Worth Primary Care, PLLC accept?

Health plans from Molina Healthcare and WellPoint list Fort Worth Primary Care, 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 Fort Worth Primary Care, PLLC was last updated on July 14, 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.