Individual provider Active NPI

Vismay Badhiwala, MD

  • Infectious Disease Physician
  • Fort Worth, TX
National Provider Identifier
1134617830
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
T4314 Issued in TX
Practice address
6551 Harris Pkwy Ste 110
Fort Worth, TX 76132-6105
Phone
(817) 624-3500
Fax
(682) 708-7225
NPI assigned
Apr 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X T4314 TX Primary

Addresses

Primary practice location

6551 Harris Pkwy Ste 110
Fort Worth, TX 76132-6105

Mailing address

6551 Harris Pkwy Ste 110
Fort Worth, TX 76132-6105
Phone (817) 624-3500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230822001331 TX Practitioner - Infectious Disease 3173932043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mallikarjuna Mukka MD PAGroup PAC ID 9436222510, 7 clinicians

Practice addresses (Care Compare)

6551 Harris Pkwy
Suite 110
Fort Worth, TX 76132-6105
Phone (817) 624-3500

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137

Merit-based Incentive Payment System (MIPS)

Final score
64.29 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
66.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mallikarjuna Mukka MD PA Infectious Disease CurrentSince Aug 1, 2023 Accepting new patients

Locations

6551 Harris Pkwy
Ste 110
Fort Worth, TX 76132
Phone (817) 370-8833

Interoperability endpoints

  • Direct secure messaging: vismay.badhiwala@direct.myhealthep.org

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1134617830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326105",
            "telephone_number": "817-624-3500",
            "fax_number": "682-708-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 HARRIS PKWY STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761326105",
            "telephone_number": "817-624-3500",
            "fax_number": "682-708-7225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADHIWALA",
        "first_name": "VISMAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-27",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "T4314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.