Organization Active NPI

DFW Neurology PLLC

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1194978478
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M9524 Issued in TX
Legal business name
DFW NEUROLOGY PLLC
Practice address
6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240
Phone
(817) 292-0088
Fax
(855) 285-0906
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Authorized official

Name
Dr. Lavanya L Nagineni, MD
Title
Sole Member
Phone
(817) 292-0088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X M9524 TX Primary
Neuroradiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0700X

Addresses

Primary practice location

6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240

Mailing address

6800 Harris Pkwy
Suite 130
Fort Worth, TX 76132-4240
Phone (817) 292-0088

Other identifiers 1

IdentifierTypeStateIssuer
201059701MedicaidTX

National Provider Directory

National Provider Directory

Locations

6800 Harris Pkwy
Ste 130
Fort Worth, TX 76132
Phone (817) 292-0088

6401 Harris Pkwy
Ste 130
Ft Worth, TX 76132

6100 Harris Pkwy
Ste 110A
Ft Worth, TX 76132
Phone (817) 433-5400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1194978478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 HARRIS PKWY",
            "address_2": "SUITE 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324240",
            "telephone_number": "817-292-0088",
            "fax_number": "855-285-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 HARRIS PKWY",
            "address_2": "SUITE 130",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324240",
            "telephone_number": "817-292-0088",
            "fax_number": "855-285-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "NAGINENI",
        "authorized_official_first_name": "LAVANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-292-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M9524",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201059701",
            "state": "TX"
        }
    ],
    "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 Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.