Individual provider Active NPI

Kalan Nicole Bobbitt, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1699923078
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N4950 Issued in TX
Practice address
10900 Founders Way Ste 103
Fort Worth, TX 76244-5435
Phone
(817) 741-8355
Fax
(817) 741-8365
NPI assigned
Aug 28, 2008
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10032391 TX
Family Medicine Physician 207Q00000X N4950 TX Primary

Addresses

Primary practice location

10900 Founders Way Ste 103
Fort Worth, TX 76244-5435

Mailing address

1050 E State Highway 114
Ste 100
Southlake, TX 76092-5253
Phone (817) 329-8364

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
I20110713000070 TX Practitioner - Family Practice 4385812635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

10900 Founders Way
Suite 103
Fort Worth, TX 76244-5435
Phone (817) 741-8355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10032391TXMDFamily Medicine Physician
N4950TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Jan 1, 2024 Accepting new patients
Valora Medical Center LLC CurrentSince May 1, 2022 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

10900 Founders Way
Ste 103
Fort Worth, TX 76244
Phone (817) 741-8355

1004 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 677-1300

5601 Executive Dr
Ste 200
Irving, TX 75038
Phone (352) 565-7290

1050 E State Highway 114
Ste 100
Southlake, TX 76092
Phone (817) 329-8364

Interoperability endpoints

  • Direct secure messaging: kbobbitt2455009@direct.texashealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1699923078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E STATE HIGHWAY 114",
            "address_2": "STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925253",
            "telephone_number": "817-329-8364",
            "fax_number": "817-329-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 FOUNDERS WAY STE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445435",
            "telephone_number": "817-741-8355",
            "fax_number": "817-741-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "KALAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10032391",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.