NICKOLAS MUNDO
NPI 1528754884
Family Medicine in Fort Worth, TX
NPI Status: Active since April 11, 2023
Contact Information
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 702-1100
- Individual
- Male
- Family Medicine
About NICKOLAS MUNDO
This page provides the complete NPI Profile along with additional information for Nickolas Mundo, a primary care provider established in Fort Worth, Texas with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1528754884 assigned on April 2023. The practitioner's primary taxonomy code is 207Q00000X with license number V3055 (TX). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1528754884
- Provider Name
- NICKOLAS MUNDO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 S MAIN ST FORT WORTH, TX 76104
- Location Phone
- (817) 702-1100
- Mailing Address
- 1500 S MAIN ST FORT WORTH, TX 76104
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2023
- Last Update Date
- 07-16-2025
- Code Navigator
A primary care provider (PCP) like Nickolas Mundo sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- V3055
- License State
- TX
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Reviews for NICKOLAS MUNDO
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 2 | 8 | 7 | 5 | 4 | 8 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 4 | 8 | 14 | 5 | 8 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 4 + 8 + 1 + 4 + 5 + 8 + 8 + 1 + 6 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1528754884 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LIANCUN WU
Anesthesiology
1500 S MAIN ST
JPS HOSIPITAL, DEPARTMENT OF ANESTHESIOLOGY
FORT WORTH, TX
ZIP 76104
JPS PHYSICIAN GROUP INC
General Acute Care Hospital
1500 S MAIN ST
PHYSICIAN SERVICES
FORT WORTH, TX
ZIP 76104
DR. DANIEL FREDERICK CASEY M.D.
Family Medicine
1500 S MAIN ST
FORT WORTH
FORT WORTH, TX
ZIP 76104
DR. BARBARA LYNN SLEE M.D.
Family Medicine
1500 S MAIN ST
FAMILY HEALTH CENTER
FORT WORTH, TX
ZIP 76104
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST
FAMILY MEDICINE CENTER
FORT WORTH, TX
ZIP 76104
DR. SANDRA G MORENO M.D.
Family Medicine
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. WILLIAM BART PATE M.D.
Family Medicine
1500 S MAIN ST
DEPT. OF FAMILY MEDICINE
FORT WORTH, TX
ZIP 76104
LOREN S LASATER MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. HUGH NOLE WEST MD
Radiology
(Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. DONALD G PHILLIPS D.O.
Emergency Medicine
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
MS. EDNA JILL ENGLISH N.P.
Nurse Practitioner
(Family)
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
KATHERINE ADELE FUCHSHUBER NP
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
PAUL THOMAS MARSH DO
Radiology
(Diagnostic Radiology)
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. LUZMINDA B CONCEPCION MD
Pediatrics
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
GLENN E HAMILTON NP
Nurse Practitioner
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. SUZANNE B KELLEY MD
Pediatrics
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DOUGLAS S MILLER MD
Dermatology
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. SANGAMESHWAR REDDY MD
Internal Medicine
(Gastroenterology)
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
DR. NEIL F LOVITT MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
MS. MARCIA D LUCUS NNP
Nurse Practitioner
(Neonatal)
1500 S MAIN ST
FORT WORTH, TX
ZIP 76104
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528754884, enumerated as an "individual" on April 11, 2023.
The provider is located at 1500 S MAIN ST FORT WORTH, TX 76104 and the phone number is (817) 702-1100.
Family Medicine with taxonomy code 207Q00000X.
