Organization Active NPI

Angelo Vu DO PA

Doing business as The Internal Medicine Center of Fort Worth

  • Internal Medicine Physician
  • Burleson, TX
National Provider Identifier
1598967606
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2859 Issued in TX
Legal business name
ANGELO VU DO PA
Doing business as
The Internal Medicine Center of Fort Worth
Practice address
12001 South Fwy Ste 307
Burleson, TX 76028-7215
Phone
(817) 568-8700
Fax
(817) 568-8704
NPI assigned
Jun 1, 2007
Last updated
Dec 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Authorized official

Name
Dr. Angelo Vu, DO
Title
Owner
Phone
(817) 568-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2859 TX Primary

Addresses

Primary practice location

12001 South Fwy Ste 307
Burleson, TX 76028-7215

Mailing address

12001 South Fwy Ste 307
Burleson, TX 76028-7215
Phone (817) 568-8700

Other identifiers 1

IdentifierTypeStateIssuer
188822401MedicaidTX

Other names 1

  • The Internal Medicine Center of Fort Worth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070907000436 TX Part B Supplier - Clinic/Group Practice 7719070747 Receives reassigned benefits from 2 practitioners
Practice locations: Burleson, TX

National Provider Directory

National Provider Directory

Locations

12001 South Fwy
Ste 307
Burleson, TX 76028
Phone (817) 568-8700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1598967606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 307",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-568-8700",
            "fax_number": "817-568-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 SOUTH FWY STE 307",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760287215",
            "telephone_number": "817-568-8700",
            "fax_number": "817-568-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO VU DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-568-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188822401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Internal Medicine Center of Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.