Individual provider Active NPI

Nandini Nagaraj, M.D.

  • Gastroenterology Physician
  • Fort Worth, TX
National Provider Identifier
1285714071
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N6521 Issued in TX
Practice address
6445 Harris Pkwy
St 100
Fort Worth, TX 76132-4138
Phone
(817) 361-6900
Fax
(817) 263-5849
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N6521 TX Primary

Addresses

Primary practice location

6445 Harris Pkwy
St 100
Fort Worth, TX 76132-4138

Mailing address

6445 Harris Pkwy
St 100
Fort Worth, TX 76132-4138
Phone (817) 361-6900

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
I20101123000958 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 8628170701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 S Main St
Keller, TX 76248-7029
Phone (817) 741-4347

P O Box
Suite 35629
Dallas, TX 75235-0629

PO Box
Suite 35629
Dallas, TX 75235-0629

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy77
Upper gastrointestinal (GI) endoscopy for acid reflux74

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Dec 1, 2015 Accepting new patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Dec 1, 2015 Accepting new patients

Locations

6317 Harris Pkwy
Ste 300
Ft Worth, TX 76132
Phone (817) 361-6900

900 W Magnolia Ave
Ste 100
Ft Worth, TX 76104
Phone (817) 870-7300

6445 Harris Pkwy
Ste 100
Ft Worth, TX 76132
Phone (817) 263-0101

601 S Main St
Keller, TX 76248
Phone (817) 741-4347

Organizations & group practices 3

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 1

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1285714071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 HARRIS PKWY",
            "address_2": "ST 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324138",
            "telephone_number": "817-361-6900",
            "fax_number": "817-263-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6445 HARRIS PKWY",
            "address_2": "ST 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324138",
            "telephone_number": "817-361-6900",
            "fax_number": "817-263-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGARAJ",
        "first_name": "NANDINI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N6521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.