IDEXPERTCARE PA
NPI 1598235194
Internal Medicine - Infectious Disease in Fort Worth, TX

Active since November 27, 2018
1634 MISTLETOE BLVD, FORT WORTH, TX 76104(817) 818-8433 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 7, 2024, Nov 27, 2018 (2 updates tracked since 2018).

About Idexpertcare Pa NPPES

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

IDEXPERTCARE PA (NPI 1598235194) is a healthcare organization registered as an infectious disease in Fort Worth, Texas and active in the NPI registry since November 2018. The organization lists Anupama Chennupati, Owner, as its authorized official.

NPPES Registry Identity

NPI1598235194
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameIDEXPERTCARE PA
Location Address1634 MISTLETOE BLVDFort Worth, TX 76104-4012
Mailing Address912 Charleston DrSouthlake, TX 76092-1536
Organization SubpartNo
Authorized OfficialAnupama ChennupatiOwner · (817) 608-6978
Enumeration DateNovember 27, 2018
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1598235194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1634 MISTLETOE BLVD, Fort Worth, TX 76104

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Idexpertcare PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Infectious Disease
NPI 1023258043
1634 MISTLETOE BLVD
Fort Worth, TX 76104
(817) 818-8433
✔ PECOS✔ Accepts MedicareSame address

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 Idexpertcare PA's NPI number?

The NPI number for Idexpertcare PA is 1598235194. It was assigned to this organization in the NPPES registry on November 27, 2018.

Where is Idexpertcare PA located?

Idexpertcare PA is located at 1634 Mistletoe Blvd, Fort Worth, TX 76104. The listed phone number is (817) 818-8433.

What is Idexpertcare PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Idexpertcare PA enrolled in Medicare?

Yes. Idexpertcare PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Idexpertcare PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Idexpertcare PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Idexpertcare PA accept?

Health plans from Molina Healthcare list Idexpertcare 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 Idexpertcare PA was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.