LONE STAR FAMILY PRACTICE, PA
NPI 1932703220
Family Medicine in Fort Worth, TX

Q: What is Lone Star Family Practice, PA's NPI number?

The NPI number for Lone Star Family Practice, PA is 1932703220. It was assigned to this organization in the NPPES registry on November 26, 2020.

Q: What is Lone Star Family Practice, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 26, 2020CLIA 45D2218280 · Microscopy

9800 N BEACH ST STE 508, FORT WORTH, TX 76244(817) 890-9111(866) 939-1308 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 15, 2023, Apr 20, 2022, Nov 26, 2020 (3 updates tracked since 2020).

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About Lone Star Family Practice, Pa NPPES

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

LONE STAR FAMILY PRACTICE, PA (NPI 1932703220) is a healthcare organization registered as a family medicine in Fort Worth, Texas and active in the NPI registry since November 2020. The organization holds a CLIA Microscopy certificate valid through March 25, 2027, maintains a secondary practice location in Fort Worth, and lists Sudha R Jogimahanti, President, as its authorized official.

NPPES Registry Identity

NPI1932703220

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameLONE STAR FAMILY PRACTICE, PA

Location Address9800 N BEACH ST STE 508Fort Worth, TX 76244-6473

Mailing AddressPo Box 39Roanoke, TX 76262-0039 · (817) 269-2964

Phone(817) 890-9111

Fax(866) 939-1308

Organization SubpartNo

Authorized OfficialSudha R JogimahantiPresident · (817) 269-2964

Enumeration DateNovember 26, 2020

Last NPPES UpdateNovember 15, 20233 updates tracked since enumeration

NPPES CertifiedNovember 15, 2023

✔ NPI 1932703220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9800 N BEACH ST STE 508, Fort Worth, TX 76244

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Secondary Practice Location 1

Location 13025 N Tarrant Pkwy Ste 300Fort Worth, TX 76177-8629 · Phone (817) 269-2964

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)

Lone Star Family Practice, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lone Star Family Practice, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Sudha Jogimahanti, M.D.

Family Practice

NPI 1649373614

9800 N BEACH ST STE 300
Fort Worth, TX 76244

(817) 890-9111

✔ PECOS✔ Accepts MedicareSame address

Brenna Young, FNP

Nurse Practitioner

NPI 1346828845

829 N NOLAN RIVER RD
Cleburne, TX 76033

(817) 558-4600

✔ PECOS✔ Accepts Medicare40 mi

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 for Provider-Performed Microscopy Procedures (PPMP) 45D2218280

Lone Star Family Practice, PA · Fort Worth, TX

Active · expires Mar 25, 2027

CLIA Number45D2218280

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorSudha R. Jogimahanti

Laboratory Phone(817) 269-2964

Laboratory LocationLone Star Family Practice, PA9800 N Beach St Suite 508, Fort Worth, TX 76244

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Lone Star Family Practice, PA's NPI number?

The NPI number for Lone Star Family Practice, PA is 1932703220. It was assigned to this organization in the NPPES registry on November 26, 2020.

Where is Lone Star Family Practice, PA located?

Lone Star Family Practice, PA is located at 9800 N Beach St Ste 508, Fort Worth, TX 76244. The listed phone number is (817) 890-9111.

What is Lone Star Family Practice, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lone Star Family Practice, PA enrolled in Medicare?

Yes. Lone Star Family Practice, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lone Star Family Practice, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lone Star Family Practice, PA, in Family Practice 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lone Star Family Practice, PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D2218280) is associated with this NPI, valid through March 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lone Star Family Practice, PA was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.