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DR. PONNIAH S SANKARAPANDIAN MD
NPI 1699767798
Internal Medicine - Nephrology in Fort Worth, TX

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
1001 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 877-5858(817) 335-4418 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2025, Sep 2, 2022, Dec 2, 2019 (3 updates tracked since 2019).

About Dr. Ponniah S Sankarapandian Md NPPES

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

DR. PONNIAH S SANKARAPANDIAN MD (NPI 1699767798) is an individual nephrology provider in Fort Worth, Texas, licensed in Texas (F4477) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1966).

NPPES Registry Identity

NPI1699767798
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PONNIAH S SANKARAPANDIANCredential: MD
Location Address1001 PENNSYLVANIA AVEFort Worth, TX 76104-2228
Mailing Address1000 W Cannon StFort Worth, TX 76104-3029 · (817) 877-5858 · Fax (817) 335-4418
Phone(817) 877-5858
Fax(817) 335-4418
Sole ProprietorNo
Medical School CMSOtherGraduated 1966
Enumeration DateAugust 16, 2005
Last NPPES UpdateApril 2, 20253 updates tracked since enumeration
NPPES CertifiedApril 2, 2025
✔ NPI 1699767798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TX · F4477
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License F4477 (TX)
1001 PENNSYLVANIA AVE, Fort Worth, TX 76104
Open in Google Maps ↗

Other Identifiers 3

Medicaid128789805TX
Other87C961TX · Blue Cross
Other390001613TX · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ponniah S Sankarapandian Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698683910
PECOS Enrollment IDI20100910000520
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%42 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%51 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers13 claims17 services$11.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MACHAIAH M MADHRIRA MD
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
PYKAYIA NIKOLE ACOSTA AGACNP
Nurse Practitioner (Acute Care)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
DR. AVINASH VALLURUPALLI DO
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MEERA BHUPENDRAKUMAR PATEL PA
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
PULMCARE, LLC
Internal Medicine (Pulmonary Disease)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (312) 731-8335
CHRYS A PASCHALL NP
Nurse Practitioner (Acute Care)
1001 PENNSYLVANIA AVE
FT WORTH, TX 76104
Tarrant County (817) 725-7900
DR. BALAMURUGAN PONNIAH SANKARAPANDIAN M.D.
Internal Medicine (Nephrology)
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858
MS. MELISSA DENNY
Physician Assistant
1001 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 877-5858

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 Ponniah Sankarapandian's NPI number?

The NPI number for Ponniah Sankarapandian is 1699767798. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Ponniah Sankarapandian located?

Ponniah Sankarapandian practices at 1001 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 877-5858.

What is Ponniah Sankarapandian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ponniah Sankarapandian enrolled in Medicare?

Yes. Ponniah Sankarapandian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ponniah Sankarapandian accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Ponniah Sankarapandian 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 Ponniah Sankarapandian was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.