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NTKC-DFW, PLLC
NPI 1902131261
Internal Medicine - Nephrology in Grapevine, TX

Active since October 05, 2009
3801 WILLIAM D TATE AVE STE 105, GRAPEVINE, TX 76051(817) 488-6812(817) 251-1303 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ntkc-dfw, Pllc NPPES

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

NTKC-DFW, PLLC (NPI 1902131261), doing business as North Texas Kidney Consultants, is a healthcare organization registered as a nephrology in Grapevine, Texas and active in the NPI registry since October 2009. The organization lists Dan N Baccus, Cfo, as its authorized official.

NPPES Registry Identity

NPI1902131261
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameNTKC-DFW, PLLC
Location Address3801 WILLIAM D TATE AVE STE 105Grapevine, TX 76051-8755
Mailing Address3801 William D Tate Ave Ste 105Grapevine, TX 76051-8755 · (817) 488-6812 · Fax (817) 251-1303
Phone(817) 488-6812
Fax(817) 251-1303
Organization SubpartNo
Authorized OfficialDan N BaccusCfo · (817) 488-6669
Enumeration DateOctober 5, 2009
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedJuly 13, 2026
✔ NPI 1902131261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3801 WILLIAM D TATE AVE STE 105, Grapevine, TX 76051
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Other Names 1

Doing Business AsNorth Texas Kidney Consultants

Other Identifiers 1

Medicaid209283502TX

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ntkc-dfw, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Ntkc-Dfw, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Miraie Wardi, D.O
Nephrology
NPI 1386056695
2425 HIGHWAY 121 STE 201
Bedford, TX 76021
(817) 283-5166
✔ PECOS✔ Accepts Medicare3.4 mi
David Martin, M.D.
Nephrology
NPI 1093774127
601 WESTPARK WAY SUITE B
Euless, TX 76040
(817) 283-5166
✔ PECOS✔ Accepts Medicare4.8 mi
Ammar Al-Laham, MD
Nephrology
NPI 1285829440
4907 S COLLINS ST STE 101
Arlington, TX 76018
(817) 375-0610
✔ PECOS✔ Accepts Medicare16 mi
Christopher Norris, M.D.
Nephrology
NPI 1902840853
4907 S COLLINS ST SUITE 101
Arlington, TX 76018
(817) 375-0610
✔ PECOS✔ Accepts Medicare16 mi
Majd Jaradat, M.D.
Nephrology
NPI 1245295989
4907 S COLLINS ST SUITE 101
Arlington, TX 76018
(817) 375-0610
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ntkc-Dfw, PLLC's NPI number?

The NPI number for Ntkc-Dfw, PLLC is 1902131261. It was assigned to this organization in the NPPES registry on October 5, 2009. The provider is doing business as North Texas Kidney Consultants.

Where is Ntkc-Dfw, PLLC located?

Ntkc-Dfw, PLLC is located at 3801 William D Tate Ave Ste 105, Grapevine, TX 76051. The listed phone number is (817) 488-6812.

What is Ntkc-Dfw, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ntkc-Dfw, PLLC enrolled in Medicare?

Yes. Ntkc-Dfw, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ntkc-Dfw, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nephrology, reassign their Medicare billing to Ntkc-Dfw, PLLC. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ntkc-Dfw, PLLC was last updated on July 13, 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.