Individual provider Active NPI

Benjamin Tomelleri-Galichia, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1346878477
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
T8069 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1244
NPI assigned
Apr 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X T8069 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

200 W Magnolia Ave Ste 201
Ft Worth, TX 76104-7657
Phone (817) 702-2977

Other practice location 1

809 Gallagher Dr Ste D
Sherman, TX 75090-1754
Phone (903) 771-2846

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
I20241216003777 TX Practitioner - Family PracticePractitioner - Emergency Medicine 8628504511 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Southwestern Medical School at Dallas, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acclaim Physician Group IncGroup PAC ID 4587963582, 520 clinicians
Grayson County Health ClinicGroup PAC ID 9638307648, 10 clinicians

Practice addresses (Care Compare)

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-1166

809 Gallagher Dr
Suite D
Sherman, TX 75090-1754
Phone (903) 771-2846

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients
Concord Medical Group PLLC Current Accepting new patients
Grayson County Health Clinic CurrentSince Sep 1, 2025 Accepting new patients
Texomacare Specialty Physicians CurrentSince Sep 1, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince Dec 6, 2024 Accepting new patients

Locations

1050 W Arkansas Ln
Arlington, TX 76013
Phone (817) 277-6555

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

3200 W Euless Blvd
Euless, TX 76040
Phone (817) 702-6474

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

5001 Mesa Springs Dr
Fort Worth, TX 76123
Phone (817) 702-0400

1400 S Main St
Ste 401
Fort Worth, TX 76104
Phone (817) 702-4921

1500 S Main St
Fl 4
Fort Worth, TX 76104
Phone (817) 702-1215

200 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 702-2450

200 W Magnolia Ave
Ste 100
Ft Worth, TX 76104
Phone (817) 332-4005

1400 S Main St
Ste 403
Ft Worth, TX 76104
Phone (817) 332-5585

3308 Deen Rd
Ft Worth, TX 76106
Phone (817) 702-1819

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

3050 Timberline Dr
Grapevine, TX 76051
Phone (470) 554-7902

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1920 N Main St
Mansfield, TX 76063
Phone (817) 702-5120

809 Gallagher Dr
Ste D
Sherman, TX 75090
Phone (903) 771-2846

6601 Watauga Rd
Ste 124
Watauga, TX 76148
Phone (817) 702-6618

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIEDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1346878477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MAGNOLIA AVE STE 201",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761047657",
            "telephone_number": "817-702-2977",
            "fax_number": "817-702-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Gallagher Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750901754",
            "country_code": "US",
            "telephone_number": "903-771-2846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMELLERI-GALICHIA",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-01",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T8069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.