Active NPI
Texas Centers for Infectious Disease Associates PA
- Infectious Disease Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- TEXAS CENTERS FOR INFECTIOUS DISEASE ASSOCIATES PA
- Practice address
- 1025 College Ave
Fort Worth, TX 76104-3013 - Phone
- (817) 810-9811
- Fax
- (817) 810-9815
- NPI assigned
- May 15, 2006
- Last updated
- Jan 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Kay McDonald, MD
- Title
- Provider
- Phone
- (817) 810-9810
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary | ||
| Community/Retail Pharmacy | 3336C0003X | |||
| Home Infusion Therapy Pharmacy | 3336H0001X |
Addresses
Primary practice location
1025 College Ave
Fort Worth, TX 76104-3013
Mailing address
1025 College Ave
Fort Worth, TX 76104-3013
Phone (817) 810-9810
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079871202 | Medicaid | TX | |
| 00099K | Other | TX | BCBS GROUP |
| CH8204 | Other | MEDICARE RR GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0948775 | Texas Centers for Infectious Disease | Certificate of waiver | Jul 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
3410 Worth St
Ste 740
Dallas, TX 75246
3410 Worth St
Ste 780
Dallas, TX 75246
Phone (817) 810-9810
3410 Worth St
Ste 780790
Dallas, TX 75246
Phone (214) 716-0662
3410 Worth St
Ste 790
Dallas, TX 75246
Phone (817) 810-9810
1025 College Ave
Ste 104
Fort Worth, TX 76104
Phone (817) 810-9810
1124 College Ave
Ft Worth, TX 76104
Phone (817) 336-5466
Practitioners & affiliated clinicians
Practitioners 32
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.
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1013982511
-
- Acute Care Nurse Practitioner
- Dallas, TX
- NPI 1558732602
-
- Infectious Disease Physician
- Dallas, TX
- NPI 1336568773
-
- Family Nurse Practitioner
- Keller, TX
- NPI 1568163673
-
- Physician Assistant
- Fort Worth, TX
- NPI 1225900889
-
- Physician Assistant
- Fort Worth, TX
- NPI 1699806851
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1801274477
-
- Acute Care Nurse Practitioner
- Bryan, TX
- NPI 1396379525
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1265407761
-
- Family Nurse Practitioner
- Dallas, TX
- NPI 1083240568
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1497216535
-
- Infectious Disease Physician
- Fort Worth, TX
- NPI 1770783243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704326400000",
"number": "1750332441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 COLLEGE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043013",
"telephone_number": "817-810-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 COLLEGE AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043013",
"telephone_number": "817-810-9811",
"fax_number": "817-810-9815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS CENTERS FOR INFECTIOUS DISEASE ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-15",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "817-810-9810",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079871202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "00099K",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR GROUP",
"identifier": "CH8204",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.