Individual provider Active NPI

Ponniah S Sankarapandian, MD

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1699767798
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
F4477 Issued in TX
Practice address
1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone
(817) 877-5858
Fax
(817) 335-4418
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F4477 TX
Nephrology Physician 207RN0300X F4477 TX Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other identifiers 3

IdentifierTypeStateIssuer
128789805MedicaidTX
87C961OtherTXBLUE CROSS
390001613OtherTXRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000520 TX Practitioner - NephrologyPractitioner - Internal Medicine 5698683910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Health PAGroup PAC ID 7113904657, 32 clinicians

Practice addresses (Care Compare)

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients
PPG Health, PA Internal Medicine CurrentSince Oct 23, 1986 Accepting new patients
SNG - Pasadena Dialysis Center LP PastSince Dec 1, 2010 Accepting new patients
Nacogdoches Dialysis Center LP PastSince Mar 1, 2015 Accepting new patients
SNG - Texas City Dialysis LP PastSince Oct 1, 2009 Accepting new patients
SNG - Bellaire Dialysis Center LP PastSince Apr 1, 2014 Accepting new patients
SNG - Sohum Houston Dialysis Center LP PastSince Dec 31, 2012 Accepting new patients
SNG - Renal Solutions Dialysis Center LP PastSince Jul 1, 2012 Accepting new patients
SNG - Northwest Dialysis Center LP PastSince Sep 1, 2011 Accepting new patients
SNG Naranjito LLC PastSince Aug 1, 2014 Accepting new patients
SNG - St. Tammany Dialysis Center LP PastSince Oct 1, 2012 Accepting new patients
JPS Physician Group Inc Past Accepting new patients
Usrc Tarrant L P PastSince May 25, 2005 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

201 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 795-3737

601 W Sanford St
Arlington, TX 76011
Phone (817) 861-0095

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1001 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 618-9997

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1699767798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042228",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKARAPANDIAN",
        "first_name": "PONNIAH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F4477",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "F4477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128789805",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "87C961",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "390001613",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.