Organization Active NPI

Frood Eelani, D.O.

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1346262110
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5096 Issued in TX
Legal business name
FROOD EELANI, D.O.
Practice address
1315 6TH Ave
Fort Worth, TX 76104-4327
Phone
(817) 921-3626
Fax
(817) 921-0391
NPI assigned
Jul 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Frood Eelani, D.O.NPI 1417977703
Title
Owner
Phone
(817) 921-3626

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X K5096 TX Primary

Addresses

Primary practice location

1315 6TH Ave
Fort Worth, TX 76104-4327

Mailing address

1315 6TH Ave
Fort Worth, TX 76104-4327
Phone (817) 921-3626

Other identifiers 1

IdentifierTypeStateIssuer
0071EGOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

1315 6th Ave
Fort Worth, TX 76104
Phone (817) 921-3626

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346262110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044327",
            "telephone_number": "817-921-3626",
            "fax_number": "817-921-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 6TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044327",
            "telephone_number": "817-921-3626",
            "fax_number": "817-921-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROOD EELANI, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EELANI",
        "authorized_official_first_name": "FROOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-921-3626",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0071EG",
            "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 Aug 22, 2020; 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.