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RADHA TRIPURANENI M.D
NPI 1639599202
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since April 22, 2014PECOS Enrolled
1500 S MAIN ST, FORT WORTH, TX 76104(817) 702-3636(817) 923-8769 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Radha Tripuraneni M.d NPPES

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

RADHA TRIPURANENI M.D (NPI 1639599202) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639599202
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRADHA TRIPURANENICredential: M.D
Location Address1500 S MAIN STFort Worth, TX 76104-4917
Mailing Address1500 S Main StFort Worth, TX 76104-4917 · (817) 702-3636 · Fax (817) 923-8769
Phone(817) 702-3636
Fax(817) 923-8769
Sole ProprietorYes
Enumeration DateApril 22, 2014
✔ NPI 1639599202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 S MAIN ST, Fort Worth, TX 76104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Radha Tripuraneni M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JONATHAN A LAZARINI MD
Family Medicine
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (903) 353-2265
ALLYSON EVANS
Nurse Anesthetist, Certified Registered
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (801) 792-5267
DR. TREVOR A JOHNSON MD
Family Medicine
1500 S MAIN ST
FT WORTH, TX 76104
Tarrant County (817) 702-3431
DR. LELIA ERRETT WILLIAMS MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1244
MITCHELL JOHNSON
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-1100
RIDDHI RANE MD
Student in an Organized Health Care Education/Training Program
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 702-6500
DR. JOANE BAUMER M.D.
Family Medicine
1500 S MAIN ST, FAMILY MEDICINE CENTER
FORT WORTH, TX 76104
Tarrant County (817) 335-1034
SHARYL WORKMAN PA
Physician Assistant
1500 S MAIN ST
FORT WORTH, TX 76104
Tarrant County (817) 927-1100

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 Radha Tripuraneni's NPI number?

The NPI number for Radha Tripuraneni is 1639599202. It was assigned to this individual provider in the NPPES registry on April 22, 2014.

Where is Radha Tripuraneni located?

Radha Tripuraneni practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-3636.

What is Radha Tripuraneni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Radha Tripuraneni enrolled in Medicare?

Yes. Radha Tripuraneni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Radha Tripuraneni was last updated on April 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.