Individual provider Active NPI

Sherif Rizkalla, DO

  • Internal Medicine Physician
  • Bedford, TX
National Provider Identifier
1720280647
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N2758 Issued in TX
Practice address
1305 Airport Fwy Ste 220
Bedford, TX 76021-6606
Phone
(817) 358-5800
Fax
(817) 283-7666
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 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 BP10024721 TX
Internal Medicine Physician 207R00000X N2758 TX Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 220
Bedford, TX 76021-6606

Mailing address

1305 Airport Fwy Ste 220
Bedford, TX 76021-6606
Phone (817) 358-5800

Other identifiers 2

IdentifierTypeStateIssuer
205483502MedicaidTX
P01130774OtherTXMEDICARE RAILROAD

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
I20090814000497 TX Practitioner - Internal Medicine 9234283961 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1305 Airport Fwy
Suite 220
Bedford, TX 76021-6606
Phone (817) 358-5800

7501 Lakeview Pkwy
Suite 130
Rowlett, TX 75088-9324
Phone (972) 463-3100

809 W Randol Mill Rd
Arlington, TX 76012-2507
Phone (817) 460-0257

900 Airport Fwy
Suite 158
Hurst, TX 76054-3253
Phone (817) 514-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10024721TXMDInternal Medicine Physician
N2758TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Apr 2, 2012 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine Current Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients
Healthtexas Provider Network Internal Medicine CurrentSince Apr 2, 2012 Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

1305 Airport Fwy
Ste 220
Bedford, TX 76021
Phone (817) 358-5800

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

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

6435 S FM 549
Ste 100
Rockwall, TX 75032
Phone (214) 501-1410

Interoperability endpoints

  • Direct secure messaging: sherif.rizkalla@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1720280647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 220",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-358-5800",
            "fax_number": "817-283-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 220",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216606",
            "telephone_number": "817-358-5800",
            "fax_number": "817-283-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZKALLA",
        "first_name": "SHERIF",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10024721",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N2758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205483502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01130774",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.