Organization Active NPI

Acclaim Physician Group, Inc

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1780076562
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ACCLAIM PHYSICIAN GROUP, INC
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-6770
NPI assigned
Mar 3, 2015
Last updated
Dec 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Authorized official

Name
Ashley Edwards
Title
Provider Enrollment
Phone
(817) 918-5204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-2450

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160426000707 TX Part B Supplier - Clinic/Group Practice 4587963582 Receives reassigned benefits from 1,080 practitioners
Practice locations: Fort Worth, TX; Grapevine, TX; Mansfield, TX; Watauga, TX; Azle, TX; Arlington, TX; Euless, TX

National Provider Directory

National Provider Directory

Locations (25 of 74)

1050 W Arkansas Ln
Ste 214
Arlington, TX 76013

1741 E Bardin Rd
Arlington, TX 76018
Phone (817) 702-8470

1741 E Bardin Rd
Ste 201
Arlington, TX 76018
Phone (817) 702-8470

1850 Brown Blvd
Arlington, TX 76006
Phone (817) 702-1510

1850 Brown Blvd
Ste A
Arlington, TX 76006
Phone (817) 702-5135

2101 Browning Dr
Arlington, TX 76010
Phone (682) 867-9500

501 W Main St
Arlington, TX 76010
Phone (817) 702-3165

600 SE Green Oaks Blvd
Arlington, TX 76018
Phone (817) 702-4844

604 New York Ave
Arlington, TX 76010
Phone (817) 702-5071

701 E Arbrook Blvd
Ste A
Arlington, TX 76014
Phone (682) 867-1500

701 E I 20
Ste 101
Arlington, TX 76018
Phone (817) 852-8700

701 E Interstate 20
Arlington, TX 76018
Phone (817) 472-1040

401 Stribling Dr
Azle, TX 76020
Phone (409) 539-0210

3115 W Pipeline Rd
Bldg B
Euless, TX 76040
Phone (817) 399-3500

3115 W Pipeline Rd
Bldg D
Euless, TX 76040
Phone (817) 702-3366

3115 W Pipeline Rd
Bldg G
Euless, TX 76040

600 Townley Dr
Everman, TX 76140
Phone (817) 551-6504

1250 8th Ave
Ste 600
Fort Worth, TX 76104
Phone (817) 702-7144

1350 E Lancaster Ave
Ste 100
Fort Worth, TX 76102
Phone (817) 569-5400

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

1350 S Main St
Fl 3
Fort Worth, TX 76104

1350 S Main St
Ste 1201
Fort Worth, TX 76104
Phone (817) 702-1919

1350 S Main St
Ste 1250
Fort Worth, TX 76104
Phone (817) 702-8400

1350 S Main St
Ste 1600
Fort Worth, TX 76104
Phone (817) 702-3701

1350 S Main St
Ste 300
Fort Worth, TX 76104
Phone (817) 702-8400

Practitioners & affiliated clinicians

Practitioners 1,137

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.

View all 1,137

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766966400000",
    "number": "1780076562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCLAIM PHYSICIAN GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-03",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "817-918-5204"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.