Organization Active NPI

Texas Orthopedic and Spine Associates PLLC

  • Surgery of the Hand (Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1558013169
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
Legal business name
TEXAS ORTHOPEDIC AND SPINE ASSOCIATES PLLC
Practice address
923 College Ave Ste 101
Fort Worth, TX 76104-3051
Phone
(817) 697-4038
Fax
(877) 409-3962
NPI assigned
Jan 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Tatiana Boyko, MDNPI 1386080059
Title
Owner
Phone
(408) 966-0097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Surgery of the Hand (Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0105X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

923 College Ave Ste 101
Fort Worth, TX 76104-3051

Mailing address

923 College Ave Ste 101
Fort Worth, TX 76104-3051
Phone (817) 697-4038

Other practice location 1

2300 Lone Star Rd Ste 160
Mansfield, TX 76063-8744
Phone (817) 697-4038

Other practice location 2

3450 W Wheatland Rd Ste 330
Dallas, TX 75237-4439
Phone (817) 697-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220224000368 TX Part B Supplier - Clinic/Group Practice 4183018757 Receives reassigned benefits from 7 practitioners
Practice locations: Fort Worth, TX; Dallas, TX

National Provider Directory

National Provider Directory
Tax ID family
Texas Orthopedic and Spine Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6939 River Park Cir
Fort Worth, TX 76116
Phone (817) 731-7611

2120 N MacArthur Blvd
Irving, TX 75061
Phone (972) 438-4636

2300 Lone Star Rd
Ste 160
Mansfield, TX 76063
Phone (817) 697-4038

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1558013169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "817-697-4038",
            "fax_number": "877-409-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 COLLEGE AVE STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043051",
            "telephone_number": "817-697-4038",
            "fax_number": "877-409-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Lone Star Rd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638744",
            "country_code": "US",
            "telephone_number": "817-697-4038",
            "fax_number": "877-409-3962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 W Wheatland Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752374439",
            "country_code": "US",
            "telephone_number": "817-697-4038",
            "fax_number": "877-409-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS ORTHOPEDIC AND SPINE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "BOYKO",
        "authorized_official_first_name": "TATIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-966-0097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.