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FORT WORTH INTERNAL MEDICINE PA
NPI 1851432462
Internal Medicine in Fort Worth, TX

Active since February 08, 2007CLIA 45D1071977 · Waiver
654 SAINT LOUIS AVE, FORT WORTH, TX 76104(817) 386-9818 Get Directions Write a Review

NPPES record last updated: June 17, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Worth Internal Medicine Pa NPPES

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

FORT WORTH INTERNAL MEDICINE PA (NPI 1851432462) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Adebola Sulaiman Olatunji, Director, as its authorized official.

NPPES Registry Identity

NPI1851432462
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT WORTH INTERNAL MEDICINE PA
Location Address654 SAINT LOUIS AVEFort Worth, TX 76104-3358
Mailing Address654 Saint Louis AveFort Worth, TX 76104-3358 · (817) 386-9818
Phone(817) 386-9818
Organization SubpartNo
Authorized OfficialAdebola Sulaiman OlatunjiDirector · (817) 386-9818
Enumeration DateFebruary 8, 2007
Last NPPES UpdateJune 17, 2015
✔ NPI 1851432462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · L9833
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
654 SAINT LOUIS AVE, Fort Worth, TX 76104
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 ›

CLIA Laboratory Certificates CMS CLIA

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 45D1071977

Fort Worth Internal Medicine, PA · Fort Worth, TX
Active · expires Aug 6, 2027
CLIA Number45D1071977
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorAdebola S. Olatunji
Laboratory Phone(817) 343-1267
Laboratory LocationFort Worth Internal Medicine, PA654 St Louis Ave, Fort Worth, TX 76104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DR. OLAWALE OPEYEMI AKINMERESE M.D
Family Medicine
654 SAINT LOUIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 386-9818
DR. ADEBOLA SULAIMAN OLATUNJI M.D.
Internal Medicine
654 SAINT LOUIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 386-9818
MRS. DEBORAH ATCHISON
Specialist/Technologist (Speech-Language Assistant)
654 SAINT LOUIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 921-5020
FREDA ELAINE MCKELVEY NP
Nurse Practitioner (Family)
654 SAINT LOUIS AVE
FORT WORTH, TX 76104
Tarrant County (817) 386-9818

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 Fort Worth Internal Medicine PA's NPI number?

The NPI number for Fort Worth Internal Medicine PA is 1851432462. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Fort Worth Internal Medicine PA located?

Fort Worth Internal Medicine PA is located at 654 Saint Louis Ave, Fort Worth, TX 76104. The listed phone number is (817) 386-9818.

What is Fort Worth Internal Medicine PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Fort Worth Internal Medicine PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D1071977) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fort Worth Internal Medicine PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Fort Worth Internal Medicine PA 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 Internal Medicine PA was last updated on June 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.