Individual provider Active NPI

Preethi Prakash, M.D

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1407048358
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q8126 Issued in TX
Practice address
1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104
Phone
(817) 250-4906
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X Q8126 TX Primary

Addresses

Primary practice location

1300 W Terrell Ave Ste K230
Fort Worth, TX 76104-3104

Mailing address

11801 South Fwy
Burleson, TX 76028-7021

Other practice location 1

1400 W 22nd St
Sioux Falls, SD 57105-1505
Phone (605) 357-1300

Other practice location 2

11801 South Fwy
Burleson, TX 76028-7021
Phone (817) 568-5955

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
I20180829003024 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3870774524 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

2601 W Randol Mill Rd
Arlington, TX 76012-4289
Phone (954) 939-5000

3101 N Tarrant Pkwy
Ft Worth, TX 76177-8656
Phone (954) 939-5000

Hospital & facility affiliations

  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2023 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 20, 2022 Accepting new patients
Texas Health Physicians Group Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

11801 South Fwy
#I35W
Burleson, TX 76028
Phone (817) 293-4304

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

1300 W Terrell Ave
Ste K230
Fort Worth, TX 76104
Phone (817) 250-7240

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

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

2827 Babcock Rd
San Antonio, TX 78229
Phone (210) 253-9955

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Organizations & group practices 7

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1407048358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 SOUTH FWY",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE K230",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043104",
            "telephone_number": "817-250-4906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 W 22nd St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051505",
            "country_code": "US",
            "telephone_number": "605-357-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11801 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287021",
            "country_code": "US",
            "telephone_number": "817-568-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRAKASH",
        "first_name": "PREETHI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q8126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.