FORT WORTH INTERNAL MEDICINE PA
NPI 1851432462
Internal Medicine in Fort Worth, TX
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Worth Internal Medicine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Fort Worth Internal Medicine PA, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
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
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, 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 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.
Is Fort Worth Internal Medicine PA enrolled in Medicare?
Yes. Fort Worth Internal Medicine PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Worth Internal Medicine PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Fort Worth Internal Medicine PA, in Family Practice, Internal Medicine and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Molina Healthcare and WellPoint 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.
# Fort Worth Internal Medicine Pa · NPI 1851432462
Internal Medicine organization in Fort Worth, Texas. Organization record, active in the CMS NPPES registry since February 8, 2007.
## Identity
- **NPI:** 1851432462 (Entity type: Organization)
- **Enumerated:** February 8, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Adebola Olatunji, DIRECTOR
## Practice location
- **Address:** 654 SAINT LOUIS AVE, Fort Worth, TX 76104-3358
- **Phone:** (817) 386-9818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2), Internal Medicine (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1851432462) · Data from the CMS NPPES public registry.