Active NPI
Philip Blanco Antiporta, M.D.
- Infectious Disease Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- R8147
- Practice address
- 1325 Pennsylvania Ave Ste 350
Fort Worth, TX 76104-2172 - Phone
- (817) 887-9389
- Fax
- (817) 887-9392
- NPI assigned
- Jul 25, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | R8147 | TX | Primary |
| Infectious Disease Physician | 207RI0200X | 036.133199 | IL |
Addresses
Primary practice location
1325 Pennsylvania Ave Ste 350
Fort Worth, TX 76104-2172
Mailing address
PO Box 802772
Dallas, TX 75380-2772
Phone (972) 484-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Pennsylvania Ave
Suite 350
Fort Worth, TX 76104-2172
Phone (817) 887-9389
Hospital & facility affiliations
- The Home Health Team
- Texas Health Harris Methodist Fort Worth
- Medical City Fort Worth
- Baylor Scott and White All Saints Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.79 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 72.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.133199 | IL | MD | Infectious Disease Physician |
| R8147 | TX | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infectious Disease Doctors, PA | Infectious Disease | Current | Accepting new patients |
Locations
2636 Tibbets Dr
Ste 110
Bedford, TX 76022
Phone (817) 585-0065
1325 Pennsylvania Ave
Ste 325
Fort Worth, TX 76104
Phone (817) 878-5325
1325 Pennsylvania Ave
Ste 350
Ft Worth, TX 76104
Phone (817) 887-9389
2300 Marie Curie Dr
Garland, TX 75042
Phone (972) 487-5000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
Interoperability endpoints
- pantiporta@iddoctors.ssdirect.aprima.com
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Plano, TX
- NPI 1811083702
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- Home Health Agency
- Richardson, TX
- NPI 1902088966
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1104139732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802772",
"city": "DALLAS",
"state": "TX",
"postal_code": "753802772",
"telephone_number": "972-484-7700",
"fax_number": "972-484-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE STE 350",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042172",
"telephone_number": "817-887-9389",
"fax_number": "817-887-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTIPORTA",
"first_name": "PHILIP",
"middle_name": "BLANCO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-25",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "R8147",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036.133199",
"primary": false
}
],
"identifiers": [],
"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 Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.