Raju Amaregouda Patil, M.D., M.P.H.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R6256 Issued in TX

Practice address

1902 Windsor PL Ste 102
Fort Worth, TX 76110-1866

Phone

(682) 207-1700

Fax

(682) 250-5246

NPI assigned

Apr 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Nephrology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fortworth Renal Group PAGroup PAC ID 7416244504, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC Double Springs Dialysis facility, Keller, TX, CCN 742579
• Usrc North Richland Hills Dialysis facility, North Richland Hills, TX, CCN 672554
• USRC Bluebonnet Home Dialysis Dialysis facility, Fort Worth, TX, CCN 742582
• Medical City Alliance Hospital, Fort Worth, TX, CCN 670103
• Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Medical City North Hills Hospital, North Richland Hills, TX, CCN 450087
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpatil12225@direct.acumenmd.com

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.

• Fortworth Renal Group PA

  • Nephrology Physician
  • Fort Worth, TX
  • NPI 1033560222
  Medicare reassignment Care Compare group NPD
• Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1780076562
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Usrc FWRG-Keller, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Keller, TX
  • NPI 1649893850

  Dialysis facility

  Care Compare affiliation Name & address match
• Columbia North Hills Hospital Subsidiary LP

  • General Acute Care Hospital
  • North Richland Hills, TX
  • NPI 1518911833
  Care Compare affiliation
• North Texas - Mca LLC

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1215296884
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1457526832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WINDSOR PL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101866",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10840 Texas Health Trl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762446848",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6312 Azle Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "TX",
            "postal_code": "761352442",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crown Pointe Blvd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760871197",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 S Hulen St Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761322687",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4351 Booth Calloway Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761807381",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11803 South Fwy Ste 201",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287029",
            "country_code": "US",
            "telephone_number": "682-207-1700",
            "fax_number": "682-250-5246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATIL",
        "first_name": "RAJU",
        "middle_name": "AMAREGOUDA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R6256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "396787901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457526832",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpatil12225@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1902 Windsor Pl Ste 102",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761101866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pathways Adult Living Inc
• Pathways Counseling PLLC
• Pathways Residential and Support Services
• Pathways Unlimited LLC
• Pathways Unlimited, LLC
• Yolanda Anne Patko, LPC
• Patmick LLC
• Aparna Patra, MD
• Patrice Charles LLC
• Patricia Roberts Harris DO PLLC

• Nephrology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.