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DFW SPORTS MEDICINE, PLLC
NPI 1619573532
Family Medicine - Sports Medicine in Mckinney, TX

Active since December 07, 2020
4833 MEDICAL CENTER DR STE 6E, MCKINNEY, TX 75069(469) 430-9380(469) 242-9539 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 10, 2021, Dec 7, 2020 (2 updates tracked since 2020).

About Dfw Sports Medicine, Pllc NPPES

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

DFW SPORTS MEDICINE, PLLC (NPI 1619573532) is a healthcare organization registered as a sports medicine in Mckinney, Texas and active in the NPI registry since December 2020. The organization maintains a secondary practice location in Lewisville and lists Rathna Nuti, Physician, as its authorized official.

NPPES Registry Identity

NPI1619573532
Entity TypeOrganization
Primary Taxonomy207QS0010X
Legal Business NameDFW SPORTS MEDICINE, PLLC
Location Address4833 MEDICAL CENTER DR STE 6EMckinney, TX 75069-1898
Mailing Address239 Glen Ridge DrMurphy, TX 75094-4206
Phone(469) 430-9380
Fax(469) 242-9539
Organization SubpartNo
Authorized OfficialRathna NutiPhysician · (214) 738-6169
Enumeration DateDecember 7, 2020
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1619573532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X
4833 MEDICAL CENTER DR STE 6E, Mckinney, TX 75069
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Secondary Practice Location 1

Location 11850 Lakepointe Dr Ste 700Lewisville, TX 75057-6442 · Phone (469) 430-9380 · Fax (469) 242-9539

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dfw Sports Medicine, Pllc 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 Dfw Sports Medicine, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rathna Nuti, M.D.
Family Practice
NPI 1295171668
4833 MEDICAL CENTER DR # 6E
Mckinney, TX 75069
(469) 430-9380
✔ 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 Dfw Sports Medicine, PLLC's NPI number?

The NPI number for Dfw Sports Medicine, PLLC is 1619573532. It was assigned to this organization in the NPPES registry on December 7, 2020.

Where is Dfw Sports Medicine, PLLC located?

Dfw Sports Medicine, PLLC is located at 4833 Medical Center Dr Ste 6E, Mckinney, TX 75069. The listed phone number is (469) 430-9380.

What is Dfw Sports Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Dfw Sports Medicine, PLLC enrolled in Medicare?

Yes. Dfw Sports Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dfw Sports Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dfw Sports Medicine, PLLC. 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.

When was this NPI record last updated?

The NPPES record for Dfw Sports Medicine, PLLC was last updated on February 10, 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.