FORT WORTH INFECTIOUS DISEASE CONSULTANTS PLLC
NPI 1790154102
Internal Medicine - Infectious Disease in Burleson, TX

NPI Status: Active since September 16, 2015

Contact Information

11803 SOUTH FWY
SUITE 202
BURLESON, TX
ZIP 76028
Phone: (817) 731-6121
Fax: (817) 732-8015

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 45D1052182
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-19-2026

About FORT WORTH INFECTIOUS DISEASE CONSULTANTS PLLC

This page provides the complete NPI Profile along with additional information for Fort Worth Infectious Disease Consultants Pllc, an internist established in Burleson, Texas operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1790154102 assigned on September 2015. The practitioner's primary taxonomy code is 207RI0200X with license number N5578 (TX). The provider is registered as an organization and their NPI record was last updated 8 years ago. Fort Worth Infectious Disease Consultants Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Krishna Kanth Bobbili Md (Owner)

NPI
1790154102
Provider Name
FORT WORTH INFECTIOUS DISEASE CONSULTANTS PLLC
Entity Type
Organization
Location Address
11803 SOUTH FWY SUITE 202 BURLESON, TX 76028
Location Phone
(817) 731-6121
Location Fax
(817) 732-8015
Mailing Address
11803 SOUTH FWY STE 111 BURLESON, TX 76028
Mailing Phone
(817) 349-9500
Mailing Fax
(817) 732-8015
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2015
Last Update Date
01-03-2018
Code Navigator

An internist like Fort Worth Infectious Disease Consultants Pllc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 11803 South Fwy Suite 202
    Burleson, TX 76028
    (817) 731-6121

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

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License No.
N5578
License State
TX
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KRISHNA KANTH BOBBILI MD

Authorized Official Title
OWNER
Authorized Official Phone
(704) 877-4690

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D1052182
Facility Type
Physician Office
Certificate Effective Date
March 20, 2024
Certificate Expiration Date
March 19, 2026
Laboratory Director
DEEPAK H. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fort Worth Infectious Disease Consultants Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1790154102, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 1 → 2 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 8 + 0 + 2 + 5 + 8 + 1 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1790154102.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine
11803 SOUTH FWY, SUITE201
BURLESON, TX 76028
Internal Medicine (Pulmonary Disease)
11803 SOUTH FWY, SUITE 208
BURLESON, TX 76028
Internal Medicine
11803 SOUTH FWY, SUITE 201
BURLESON, TX 76028
Psychiatry & Neurology (Neurology)
11803 SOUTH FWY, SUITE 210
BURLESON, TX 76028
Psychiatry & Neurology (Neurology)
11803 SOUTH FWY, STE 210
BURLESON, TX 76028
General Practice
11803 SOUTH FWY, STE 103
BURLESON, TX 76028
Physician Assistant (Medical)
11803 SOUTH FWY, SUITE 110
BURLESON, TX 76028
Obstetrics & Gynecology
11803 SOUTH FWY, SUITE 213
BURLESON, TX 76028
Obstetrics & Gynecology (Gynecology)
11803 SOUTH FWY, SUITE #136
BURLESON, TX 76028
Pediatrics
11803 SOUTH FWY, SUITE 208
BURLESON, TX 76028
Internal Medicine (Pulmonary Disease)
11803 SOUTH FWY, SUITE 104
BURLESON, TX 76028
Internal Medicine (Pulmonary Disease)
11803 SOUTH FWY, SUITE 104
BURLESON, TX 76028
Nurse Practitioner (Family)
11803 SOUTH FWY, SUITE 310
BURLESON, TX 76028
Pediatrics
11803 SOUTH FWY, SUITE 208
BURLESON, TX 76028
Internal Medicine (Rheumatology)
11803 SOUTH FWY, SUITE 210
BURLESON, TX 76028
Nurse Practitioner (Family)
11803 SOUTH FWY
BURLESON, TX 76028
Surgery
11803 SOUTH FWY, SUITE 112
BURLESON, TX 76028
Surgery
11803 SOUTH FWY, SUITE 112
BURLESON, TX 76028
Internal Medicine
11803 SOUTH FWY
BURLESON, TX 76028

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790154102, enumerated as an "organization" on September 16, 2015.

The provider is located at 11803 SOUTH FWY SUITE 202 BURLESON, TX 76028 and the phone number is (817) 731-6121.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.