Active NPI
Munazza S. Sethi M.D, P.a
- Geriatric Medicine (Internal Medicine) Physician
- Fort Worth, TX
National Provider Identifier
1578879409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- N6648
- Legal business name
- MUNAZZA S. SETHI M.D, P.A
- Practice address
- 1001 College Ave
Suite a
Fort Worth, TX 76104-3000 - Phone
- (817) 336-6000
- Fax
- (817) 336-2072
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda G Ortega
- Title
- Office Manager
- Phone
- (817) 336-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | N6648 | TX | Primary |
Addresses
Primary practice location
1001 College Ave
Suite a
Fort Worth, TX 76104-3000
Mailing address
1001 College Ave
Suite a
Fort Worth, TX 76104-3000
Phone (817) 336-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0764613 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1283126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1578879409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 COLLEGE AVE",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043000",
"telephone_number": "817-336-6000",
"fax_number": "817-336-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 COLLEGE AVE",
"address_2": "SUITE A",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043000",
"telephone_number": "817-336-6000",
"fax_number": "817-336-2072"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNAZZA S. SETHI M.D, P.A",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-30",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "ORTEGA",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "817-336-6000"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "TX",
"license": "N6648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0764613",
"state": "IA"
}
],
"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 Sep 16, 2010; 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.