Individual provider Active NPI

Kshitij V Bhalani, MD

  • Pediatrics Physician
  • Fort Worth, TX
National Provider Identifier
1740609361
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R3276 Issued in TX
Practice address
10601 N Riverside Dr
Fort Worth, TX 76244-2118
Phone
(817) 347-2600
Fax
(817) 347-2670
NPI assigned
Apr 10, 2014
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R3276 TX Primary

Addresses

Primary practice location

10601 N Riverside Dr
Fort Worth, TX 76244-2118

Mailing address

PO Box 99213
Fort Worth, TX 76199-0213
Phone (682) 885-1860

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
I20171004001608 TX Practitioner - Pediatric MedicinePractitioner - Family PracticePractitioner - Emergency Medicine 6608141494 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bhalani LLC Pediatrics Current Accepting new patients
Premier Hospitalists of North Texas, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Cook Children's Physician Network Pediatrics Current Accepting new patients
Premier Physicians of North Texas, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Premier Internists of North Texas, PLLC Past Accepting new patients

Locations

4325 N Josey Ln
Ste 202
Carrollton, TX 75010
Phone (214) 566-9616

3427 Trinity Mills Rd
Ste 800
Dallas, TX 75287
Phone (214) 566-9616

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

6316 Precinct Line Rd
Hurst, TX 76054
Phone (817) 605-2500

1107 S MacArthur Blvd
Irving, TX 75060
Phone (972) 251-6300

10601 N Riverside Dr
Keller, TX 76244
Phone (817) 347-2600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1740609361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99213",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990213",
            "telephone_number": "682-885-1860",
            "fax_number": "682-885-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 N RIVERSIDE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762442118",
            "telephone_number": "817-347-2600",
            "fax_number": "817-347-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALANI",
        "first_name": "KSHITIJ",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R3276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.