Individual provider Active NPI

Bantoo Sehgal, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Fort Worth, TX
National Provider Identifier
1558677690
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
R0125 Issued in TX
Practice address
800 12TH Ave Ste 200
Fort Worth, TX 76104-2519
Phone
(214) 631-9881
Fax
(469) 482-2526
NPI assigned
Aug 26, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A112987 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X PT 12022 ND
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X R0125 TX Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 249831-1 NY

Addresses

Primary practice location

800 12TH Ave Ste 200
Fort Worth, TX 76104-2519

Mailing address

800 12TH Ave Ste 200
Fort Worth, TX 76104-2519
Phone (214) 631-9881

Other practice location 1

1149 Keller Pkwy Ste A
Keller, TX 76248-1620
Phone (214) 631-9881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161215000025 TX Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2163601840 Reassigns benefits to 2 organizations
I20171212002250 OK Practitioner - Orthopedic Surgery 2163601840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southlake Orthopedics and Sports Medicine PLLCGroup PAC ID 8426313131, 2 clinicians

Practice addresses (Care Compare)

800 12TH Ave
Suite 200
Fort Worth, TX 76104-2519
Phone (214) 631-9881

Hospital & facility affiliations

  • Adaptive Home Health Home health agency, Temple, TX, CCN 458194
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
  • Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132
  • Texas Health Harris Methodist Hospital Alliance Hospital, Fort Worth, TX, CCN 670085
  • Texas Health Harris Methodist Hospital Southlake Hospital, Southlake, TX, CCN 450888
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036
  • Baylor Institute for Rehabilitation at Frisco Inpatient rehabilitation facility, Frisco, TX, CCN 673046
  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)29
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112987CAMDSports Medicine (Orthopaedic Surgery) Physician
PT 12022NDMDSports Medicine (Orthopaedic Surgery) Physician
249831-1NYMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oklahoma Communities CurrentSince Dec 7, 2017 Accepting new patients
Precision Orthopedics & Sports Medicine CurrentSince Dec 3, 2018 Accepting new patients
Southlake Orthopedics & Sports Medicine, PLLC Current Accepting new patients
Precision Orthopedics & Sports Medicine Sports Medicine CurrentSince Dec 3, 2018 Accepting new patients

Locations

530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510

731 12th Ave NW
Ste 301
Ardmore, OK 73401
Phone (580) 220-6180

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

800 12th Ave
Ste 200
Ft Worth, TX 76104
Phone (214) 631-9881

2120 N MacArthur Blvd
Ste 100
Irving, TX 75061
Phone (972) 438-4636

1149 Keller Pkwy
Ste A
Keller, TX 76248
Phone (214) 631-9881

245 W State Highway 114
Ste 300
Southlake, TX 76092
Phone (682) 477-4290

Organizations & group practices 5

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 9

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": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1558677690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 12TH AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042519",
            "telephone_number": "214-631-9881",
            "fax_number": "694-822-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 12TH AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042519",
            "telephone_number": "214-631-9881",
            "fax_number": "469-482-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Keller Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762481620",
            "country_code": "US",
            "telephone_number": "214-631-9881",
            "fax_number": "469-482-2526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEHGAL",
        "first_name": "BANTOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A112987",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "ND",
            "license": "PT 12022",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "R0125",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "249831-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.