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SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC
NPI 1871099739
Orthopaedic Surgery in Fort Worth, TX

Active since March 31, 2018
800 12TH AVE STE 200, FORT WORTH, TX 76104(214) 631-9881(972) 438-2077 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Sep 19, 2025, Feb 7, 2020 and 2 more (5 updates tracked since 2018).

About Southlake Orthopedics & Sports Medicine, Pllc NPPES

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

SOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC (NPI 1871099739), doing business as Summit Orthopedics Of Texas, is a healthcare organization registered as an orthopaedic surgery in Fort Worth, Texas and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Keller and lists Bantoo Sehgal, Owner, as its authorized official.

NPPES Registry Identity

NPI1871099739
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSOUTHLAKE ORTHOPEDICS & SPORTS MEDICINE, PLLC
Location Address800 12TH AVE STE 200Fort Worth, TX 76104-2519
Mailing Address800 12th Ave Ste 200Fort Worth, TX 76104-2519 · (214) 631-9881 · Fax (469) 482-2526
Phone(214) 631-9881
Fax(972) 438-2077
Organization SubpartNo
Authorized OfficialBantoo SehgalOwner · (214) 631-9881
Enumeration DateMarch 31, 2018
Last NPPES UpdateMay 6, 20265 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1871099739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · R0125
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
800 12TH AVE STE 200, Fort Worth, TX 76104
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Other Names 1

Doing Business AsSummit Orthopedics Of Texas

Secondary Practice Location 1

Location 11149 Keller Pkwy Ste AKeller, TX 76248-1620 · Phone (214) 631-9881 · Fax (469) 482-2526

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 ›

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.

PAULINA PURNAMA PA-C
Physician Assistant (Surgical)
800 12TH AVE STE 200
FORT WORTH, TX 76104
Tarrant County (214) 631-9881
ALLEN S. KENT, MD, PA
Orthopaedic Surgery
800 12TH AVE STE 200
FORT WORTH, TX 76104
Tarrant County (817) 332-5591
DR. BANTOO SEHGAL M.D.
Orthopaedic Surgery (Sports Medicine)
800 12TH AVE STE 200
FORT WORTH, TX 76104
Tarrant County (214) 631-9881
PRECISION ORTHOPEDICS & SPORTS MEDICINE
Durable Medical Equipment & Medical Supplies
800 12TH AVE STE 200
FORT WORTH, TX 76104
Tarrant County (972) 438-4636

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 Southlake Orthopedics & Sports Medicine, PLLC's NPI number?

The NPI number for Southlake Orthopedics & Sports Medicine, PLLC is 1871099739. It was assigned to this organization in the NPPES registry on March 31, 2018. The provider is doing business as Summit Orthopedics of Texas.

Where is Southlake Orthopedics & Sports Medicine, PLLC located?

Southlake Orthopedics & Sports Medicine, PLLC is located at 800 12th Ave Ste 200, Fort Worth, TX 76104. The listed phone number is (214) 631-9881.

What is Southlake Orthopedics & Sports Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

What insurance does Southlake Orthopedics & Sports Medicine, PLLC 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 2 other insurers list Southlake Orthopedics & Sports Medicine, PLLC 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 Southlake Orthopedics & Sports Medicine, PLLC was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.