Individual provider Active NPI

Mrunmayee Barve, M.D

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1487889705
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
54896 Issued in MN
Practice address
4160 Heritage Trace Pkwy
Fort Worth, TX 76244-5312
Phone
(682) 207-5706
NPI assigned
May 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 54896 MN Primary

Addresses

Primary practice location

4160 Heritage Trace Pkwy
Fort Worth, TX 76244-5312

Mailing address

4400 Oak Park LN
Fort Worth, TX 76109-9534
Phone (817) 985-7772

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
I20240110002429 TX Practitioner - Family Practice 6305006933 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Strategic Medical Group TX PLLCGroup PAC ID 1355707423, 26 clinicians

Practice addresses (Care Compare)

6100 Harris Pkwy
Suite 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

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

State licenses

LicenseStateTypeSpecialty
54896MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic Medical Group TX PLLC Family Medicine CurrentSince Dec 4, 2023 Accepting new patients
W Brian Byrd MD PA Family Medicine CurrentSince Dec 20, 2023 Accepting new patients

Locations

4160 Heritage Trace Pkwy
Ste 400
Fort Worth, TX 76244
Phone (706) 566-5506

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

800 8th Ave
Ste 626
Fort Worth, TX 76104
Phone (817) 243-7995

4160 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 379-5511

4400 Oak Park Ln
Ft Worth, TX 76109
Phone (817) 207-9600

800 8th Ave
Ft Worth, TX 76104
Phone (817) 243-7995

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 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": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1487889705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 OAK PARK LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761099534",
            "telephone_number": "817-985-7772",
            "fax_number": "612-302-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445312",
            "telephone_number": "682-207-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARVE",
        "first_name": "MRUNMAYEE",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "54896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.