Active NPI
Fernan F Lara, MD
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1023046729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- E0251
- Practice address
- 1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820 - Phone
- (817) 820-4906
- Fax
- (817) 820-4815
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E0251 | TX | Primary |
Addresses
Primary practice location
1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820
Mailing address
1300 W Terrell Ave FL 2
Fort Worth, TX 76104-2820
Phone (817) 820-4906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123710909 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians Southwest, PA | Internal Medicine | Past | Accepting new patients |
| Smithville Hospital Authority | Past | Accepting new patients | |
| Ascension Seton | Past | Accepting new patients | |
| Inpatient Medical Services, P.a. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
Internal Medicine
-
- General Acute Care Hospital
- Smithville, TX
- NPI 1154612638
-
- Internal Medicine Physician
- Pasadena, TX
- NPI 1104868975
-
- General Acute Care Hospital
- Smithville, TX
- NPI 1801893417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359072000000",
"number": "1023046729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE FL 2",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042820",
"telephone_number": "817-820-4906",
"fax_number": "817-820-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W TERRELL AVE FL 2",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042820",
"telephone_number": "817-820-4906",
"fax_number": "817-820-4815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARA",
"first_name": "FERNAN",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2013-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "E0251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123710909",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.