Associates of Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L8281 Issued in TX

Legal business name

ASSOCIATES OF INTERNAL MEDICINE

Practice address

2260 College Ave
Fort Worth, TX 76110-1952

Phone

(682) 268-1152

Fax

(877) 772-0063

NPI assigned

Feb 28, 2007

Last updated

Sep 17, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pavani Bellary, D.O.NPI 1841297330

Title

Physician, Owner

Phone

(682) 268-1152

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pavani Bellary, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1841297330
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600300800000",
    "number": "1023146594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12056",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761108056",
            "telephone_number": "682-268-1152",
            "fax_number": "817-818-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101952",
            "telephone_number": "682-268-1152",
            "fax_number": "877-772-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES OF INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A",
        "authorized_official_last_name": "BELLARY",
        "authorized_official_first_name": "PAVANI",
        "authorized_official_title_or_position": "PHYSICIAN, OWNER",
        "authorized_official_telephone_number": "682-268-1152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1765463",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adib R Asrabadi, DO
• Nina Saksena Asrani, M.D.
• Ruth Barajas Assi
• Assisting Concepts
• Associates in Urology
• Asthma Care Texas
• James Scott Aston, D.O.
• Laura Aston, DO
• Melissa Ann Aston, O.D.
• William Lee Aston II, O.D.

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.