NPIMap

Individual provider Active NPI

Avinash Vallurupalli, DO

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1457553224
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M1392 Issued in TX
Practice address
1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone
(817) 877-5858
Fax
(817) 335-4418
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M1392 TX
Nephrology Physician 207RN0300X M1392 TX Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900

Other identifiers 1

IdentifierTypeStateIssuer
174782602MedicaidTX

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
I20050725000287 TX Practitioner - NephrologyPractitioner - Internal Medicine 1355378084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Health PAGroup PAC ID 7113904657, 32 clinicians

Practice addresses (Care Compare)

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900

Hospital & facility affiliations

  • Usrc Southwest Fort Worth Dialysis facility, Fort Worth, TX, CCN 672559
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M1392TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
PPG Health, PA Internal Medicine CurrentSince Jul 1, 2008 Accepting new patients
Inpatient Physician Associates PLLC Internal Medicine Past Accepting new patients

Locations

203 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 275-7787

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

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

500 Lipscomb St
Ft Worth, TX 76104
Phone (817) 870-2616

1001 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 618-9997

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

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1457553224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-725-7900",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042228",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLURUPALLI",
        "first_name": "AVINASH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M1392",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M1392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174782602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.