NPIMap

Individual provider Active NPI

Frood Eelani, DO

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1417977703
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K5096 Issued in TX
Practice address
1315 6TH Ave
Fort Worth, TX 76104-4327
Phone
(817) 921-3626
Fax
(817) 921-0391
NPI assigned
Jul 20, 2006
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 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 2

IdentifierTypeStateIssuer
096418102MedicaidTX
0071EGOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922000888 TX Practitioner - Internal Medicine 7618945130 Practice locations: Fort Worth, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.38 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5096TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frood Eelani, D.O. Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1417977703",
    "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": {
        "last_name": "EELANI",
        "first_name": "FROOD",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K5096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096418102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0071EG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.