Individual provider Active NPI

Dinesh G Bhambhvani, MD

  • Neurology Physician
  • Fort Worth, TX
National Provider Identifier
1386616308
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N4948 Issued in TX
Practice address
1325 Pennsylvania Ave
610
Fort Worth, TX 76104-2158
Phone
(817) 962-2340
Fax
(817) 840-5870
NPI assigned
Feb 3, 2006
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 26089 AL
Neurology Physician 2084N0400X N4948 TX Primary

Addresses

Primary practice location

1325 Pennsylvania Ave
610
Fort Worth, TX 76104-2158

Mailing address

1325 Pennsylvania Ave
610
Fort Worth, TX 76104-2158
Phone (817) 962-2340

Other identifiers 4

IdentifierTypeStateIssuer
009962225MedicaidAL
051523304OtherALBC
167351200OtherUS DEPT OF LABOR WC
P00148699OtherRR MEDICARE

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
I20110601000864 TX Practitioner - Neurology 6406817741 Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000

1325 Pennsylvania Ave
Suite 610
Fort Worth, TX 76104-2133
Phone (817) 962-2340

1400 8TH Ave
Fort Worth, TX 76104-4110
Phone (817) 926-2544

900 8TH Ave
Fort Worth, TX 76104-3902
Phone (817) 877-5292

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.47 of 100Reported as individual
Quality
92.5
Improvement activities
40
Cost
75.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26089ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology & Sleep Solutions LLC Neurology PastSince Jan 17, 2022 Accepting new patients
Neurological Specialists PC Neurology PastSince Jul 1, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIADD/Endpoint/AJIADD

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.

Hospital & facility affiliations 3

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1386616308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "610",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-962-2340",
            "fax_number": "817-840-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 PENNSYLVANIA AVE",
            "address_2": "610",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042158",
            "telephone_number": "817-962-2340",
            "fax_number": "817-840-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAMBHVANI",
        "first_name": "DINESH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "26089",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N4948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962225",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "051523304",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "167351200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00148699",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.