NPIMap

Organization Active NPI

Nto Physician Partners, PLLC

  • Orthopaedic Surgery Physician
  • Grapevine, TX
National Provider Identifier
1114443181
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
NTO PHYSICIAN PARTNERS, PLLC
Practice address
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone
(817) 481-2121
Fax
(817) 488-4493
NPI assigned
Aug 21, 2017
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Michael Ryan Briseno, MDNPI 1083875827
Title
President
Phone
(817) 481-2121

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
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Mailing address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone (817) 481-2121

Other practice location 1

4501 Heritage Trace Pkwy Ste 101
Fort Worth, TX 76244-8940
Phone (817) 481-2121

Other names 1

  • Pat A Peters MD, PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041203000867 TX Part B Supplier - Clinic/Group Practice 2769448430 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grapevine, TX; Fort Worth, TX
O20171121002425 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2769448430 Practice locations: Fort Worth, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4501 Heritage Trace Pkwy
#101N
Fort Worth, TX 76244
Phone (817) 481-2121

1600 W College St
#640N
Grapevine, TX 76051
Phone (817) 481-2121

651 S Main St
Ste 100
Keller, TX 76248
Phone (817) 310-8780

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1114443181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 IRA E WOODS AVE",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513930",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4501 Heritage Trace Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448940",
            "country_code": "US",
            "telephone_number": "817-481-2121",
            "fax_number": "817-488-4493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NTO PHYSICIAN PARTNERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2023-09-01",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "BRISENO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-481-2121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pat A Peters MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pat A Peters MD, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.