FORT WORTH HEART, P.A.
NPI 1801939244
Clinic/Center - Medical Specialty in Fort Worth, TX
About Fort Worth Heart, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FORT WORTH HEART, P.A. (NPI 1801939244) is a healthcare organization registered as a medical specialty in Fort Worth, Texas and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Mandi Womack, Administration Mngr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Worth Heart, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
38Medicare enrollment records show 38 clinicians reassign Medicare billing to Fort Worth Heart, P.A., which bills Medicare for the services they deliver. Of these, 8 practice at this address and 20 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 38Fort Worth, TX 76104
Fort Worth, TX 76104
Fort Worth, TX 76104
Fort Worth, TX 76104
Fort Worth, TX 76104
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0962125
Heart Place Dba Fort Worth Heart, PA · Fort Worth, TXCertificate of Waiver 45D2129162
Heart Place Dba Fort Worth Heart, PA · Granbury, TXFrequently 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 Fort Worth Heart, P.A.'s NPI number?
The NPI number for Fort Worth Heart, P.A. is 1801939244. It was assigned to this organization in the NPPES registry on February 15, 2007.
Where is Fort Worth Heart, P.A. located?
Fort Worth Heart, P.A. is located at 1900 Mistletoe Blvd Suite 100, Fort Worth, TX 76104. The listed phone number is (817) 338-1300.
What is Fort Worth Heart, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.
Is Fort Worth Heart, P.A. enrolled in Medicare?
Yes. Fort Worth Heart, P.A. is registered in the Medicare PECOS enrollment system.
When is Fort Worth Heart, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Fort Worth Heart, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 38 clinicians in 4 Medicare specialties reassign their Medicare billing to Fort Worth Heart, P.A.. 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. The largest specialties are Nurse Practitioner (20), Cardiovascular Disease (Cardiology) (8) and Interventional Cardiology (7). Of these, 8 practice at this address and 20 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fort Worth Heart, P.A. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Fort Worth Heart, P.A. accept?
Health plans from Molina Healthcare and WellPoint list Fort Worth Heart, P.A. 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 Fort Worth Heart, P.A. was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Fort Worth Heart, P.a. · NPI 1801939244
Medical Specialty organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since February 15, 2007.
## Identity
- **NPI:** 1801939244 (Entity type: Organization)
- **Enumerated:** February 15, 2007
- **Primary specialty:** Clinic/Center - Medical Specialty · taxonomy 261QM2500X
- **Organization subpart:** No
- **Authorized official:** Mandi Womack, ADMINISTRATION MNGR
## Practice location
- **Address:** 1900 MISTLETOE BLVD, SUITE 100, Fort Worth, TX 76104-4014
- **Phone:** (817) 338-1300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 38 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Cardiovascular Disease (Cardiology) (8), Interventional Cardiology (7); 8 practice at this address and 20 within 10 miles; [full list](https://npiprofile.com/npi/1801939244/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2017
- **Other identifiers:** Medicaid 084424301 (TX); Other CP2325 (TX); Medicare PIN 00P739 (TX)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1801939244) · Data from the CMS NPPES public registry.