Individual provider Active NPI

Swapnil Vaidya, MD, PHD

  • Allergy Physician
  • Fort Worth, TX
National Provider Identifier
1457575615
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
P0805 Issued in TX
Practice address
9433 N Beach St Ste 111
Fort Worth, TX 76244
Phone
(817) 428-7000
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X P0805 TX
Allergy Physician 207KA0200X P0805 TX Primary
Allergy & Immunology Physician 207K00000X P0805 TX

Addresses

Primary practice location

9433 N Beach St Ste 111
Fort Worth, TX 76244

Mailing address

9433 N Beach St Ste 111
Fort Worth, TX 76244-6306
Phone (817) 428-7000

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
I20111025000062 TX Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 7012180797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Allergy and Asthma AssociatesGroup PAC ID 2668611815, 4 clinicians

Practice addresses (Care Compare)

9433 N Beach St
Suite 111
Fort Worth, TX 76244-6306
Phone (817) 428-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0805TXMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Allergy & Asthma Associates CurrentSince Apr 1, 2013 Accepting new patients
Round Rock Mental Health PA Past Accepting new patients

Locations

9433 N Beach St
Ste 111
Fort Worth, TX 76244
Phone (817) 428-7000

540 E Southlake Blvd
Ste 140
Southlake, TX 76092
Phone (817) 410-2111

540 E Southlake Blvd
Ste 1
Southlake, TX 76092
Phone (817) 410-2111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1457575615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 N BEACH ST STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446306",
            "telephone_number": "817-428-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 N BEACH ST STE 111",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-428-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA",
        "first_name": "SWAPNIL",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "P0805",
            "primary": false
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "TX",
            "license": "P0805",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P0805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.