Organization Active NPI

Fortworth Renal Group PA

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1033560222
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
FORTWORTH RENAL GROUP PA
Practice address
1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone
(682) 207-1700
Fax
(682) 250-5246
NPI assigned
Jun 28, 2016
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Dr. Oladapo Afolabi, MDNPI 1588656391
Title
Ceo
Phone
(817) 360-6081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866

Mailing address

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866
Phone (682) 207-1700

Other practice location 1

4351 Booth Calloway Rd Ste 404
North Richland Hills, TX 76180-7381
Phone (682) 207-1700

Other practice location 2

101 Crown Pointe Blvd Ste 340
Willow Park, TX 76087-1197
Phone (682) 207-1700

Other practice location 3

6312 Azle Ave
Lake Worth, TX 76135-2442
Phone (682) 207-1700

Other practice location 4

11803 South Fwy Ste 201
Burleson, TX 76028-7029
Phone (682) 207-1700

Other practice location 5

10840 Texas Health Trl Ste 200
Fort Worth, TX 76244-6848
Phone (682) 207-1700

Other practice location 6

5901 S Hulen St Ste B
Fort Worth, TX 76132-2687
Phone (682) 207-1700

Other identifiers 1

IdentifierTypeStateIssuer
1033560222MedicaidTX

Other names 1

  • Kidney and hypertension specialists of Fort Worth Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160916000878 TX Part B Supplier - Clinic/Group Practice 7416244504 Receives reassigned benefits from 19 practitioners
Practice locations: Burleson, TX; Fort Worth, TX; Lake Worth, TX; North Richland Hills, TX; Willow Park, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

209 Old Highway 1187
Burleson, TX 76028
Phone (682) 268-2700

1902 Windsor Pl
Ste 102
Fort Worth, TX 76110

3100 N Tarrant Pkwy
Ste 104
Fort Worth, TX 76177
Phone (469) 218-4410

4900 Boat Club Rd
Fort Worth, TX 76135
Phone (682) 224-9061

5901 S Hulen St
Ste B
Fort Worth, TX 76132

711 Pennsylvania Ave
Fort Worth, TX 76104
Phone (817) 332-5050

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1033560222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4351 Booth Calloway Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807381",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crown Pointe Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760871197",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6312 Azle Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "TX",
            "postal_code": "761352442",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11803 South Fwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287029",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10840 Texas Health Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446848",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 S Hulen St Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761322687",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORTWORTH RENAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "AFOLABI",
        "authorized_official_first_name": "OLADAPO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-360-6081",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033560222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney and hypertension specialists of Fort Worth",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kidney and hypertension specialists of Fort Worth",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.