Active NPI
Pooja D Tolaney, MD
- Internal Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- Q3605
- Practice address
- 1350 S Main St Ste 1600
Fort Worth, TX 76104-7663 - Phone
- (817) 702-3401
- Fax
- (817) 702-6924
- NPI assigned
- Jan 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 | Q3605 | TX | |
| Internal Medicine Physician | 207R00000X | Q3605 | TX | Primary |
Addresses
Primary practice location
1350 S Main St Ste 1600
Fort Worth, TX 76104-7663
Mailing address
PO Box 732973 Suite 215
Dallas, TX 75373-2973
Other practice location 1
400 N Beach St
Suite 104
FT Worth, TX 76111-7010
Phone (817) 831-1750
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043001 | Other | CT | PHYSICIAN SURGEON LICENSE |
| 004236007 | Medicaid | CT | |
| 37407 | Other | CT | CONTROLLED SUBSTANCE |
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
- Internal Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1350 S Main St FL
1 Healing Wings/Infectious Disease
Fort Worth, TX 76104-7611
Phone (817) 702-3701
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.69
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q3605 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acclaim Physician Group, Inc | Internal Medicine | Current | Accepting new patients |
| Hartford Physician Services PC | Internal Medicine | Past | Accepting new patients |
Locations
1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701
1350 S Main St
Ste 1600
Fort Worth, TX 76104
Phone (817) 702-3701
200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1780076562
-
dba Hartford Medical Group
- Internal Medicine Physician
- Hartford, CT
- NPI 1164404117
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1144209040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 732973 SUITE 215",
"city": "DALLAS",
"state": "TX",
"postal_code": "753732973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S MAIN ST STE 1600",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761047663",
"telephone_number": "817-702-3401",
"fax_number": "817-702-6924"
}
],
"practiceLocations": [
{
"address_1": "400 N Beach St",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "FT Worth",
"state": "TX",
"postal_code": "761117010",
"country_code": "US",
"telephone_number": "817-831-1750",
"fax_number": "860-284-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLANEY",
"first_name": "POOJA",
"middle_name": "D",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-10",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "Q3605",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "Q3605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN SURGEON LICENSE",
"identifier": "043001",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236007",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "37407",
"state": "CT"
}
],
"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 Jul 18, 2019; 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.