Organization Active NPI

Excel Cardiac Care PLLC

Doing business as Excel Cardiac Care

  • Cardiovascular Disease Physician
  • Fort Worth, TX
National Provider Identifier
1578904512
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EXCEL CARDIAC CARE PLLC
Doing business as
Excel Cardiac Care
Practice address
4400 Heritage Trace Pkwy Ste 208
Fort Worth, TX 76244-8902
Phone
(817) 518-9005
Fax
(817) 518-9015
NPI assigned
Jul 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Saritha Dodla, MDNPI 1932294469
Title
Managing Member
Phone
(940) 634-3035

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Cardiology TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246W00000X
Cardiovascular Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246X00000X
Cardiovascular Invasive Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2901X
Vascular Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XC2903X
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

4400 Heritage Trace Pkwy Ste 208
Fort Worth, TX 76244-8902

Mailing address

4400 Heritage Trace Pkwy Ste 208
Fort Worth, TX 76244-8902
Phone (817) 518-9005

Other practice location 1

1502 S Fm 51 Ste B
Decatur, TX 76234-2476
Phone (940) 799-3580

Other practice location 2

1801 S Trinity St Suite 401
Decatur, TX 76234
Phone (940) 799-3580

Other identifiers 1

IdentifierTypeStateIssuer
338288901MedicaidTX

Other names 1

  • Excel Cardiac Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140127001375 TX Part B Supplier - Clinic/Group Practice 9335378165 Receives reassigned benefits from 3 practitioners
Practice locations: Decatur, TX; Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

1502 S FM 51
Ste B
Decatur, TX 76234
Phone (817) 518-9005

4324 Heritage Trace Pkwy
Ste 808
Fort Worth, TX 76244
Phone (817) 518-9005

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7537/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1373068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1578904512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 HERITAGE TRACE PKWY STE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448902",
            "telephone_number": "817-518-9005",
            "fax_number": "817-518-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 HERITAGE TRACE PKWY STE 208",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448902",
            "telephone_number": "817-518-9005",
            "fax_number": "817-518-9015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1502 S Fm 51 Ste B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "762342476",
            "country_code": "US",
            "telephone_number": "940-799-3580",
            "fax_number": "817-518-9015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 S Trinity St Suite 401",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "TX",
            "postal_code": "76234",
            "country_code": "US",
            "telephone_number": "940-799-3580",
            "fax_number": "817-518-9015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCEL CARDIAC CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-06",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "DODLA",
        "authorized_official_first_name": "SARITHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "940-634-3035",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Cardiovascular Invasive Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338288901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Cardiac Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Excel Cardiac Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2026; 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.