Active NPI
Internal Medicine Care Group
- Internal Medicine Physician
- Fort Worth, TX
National Provider Identifier
1780133512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- N8796
- Legal business name
- INTERNAL MEDICINE CARE GROUP
- Practice address
- 1001 12TH Ave Ste 120
Fort Worth, TX 76104-3928 - Phone
- (817) 870-3627
- Fax
- (877) 935-8231
- NPI assigned
- Sep 21, 2016
- 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
- Nadeem Zaman Kayani
- Title
- Manager
- Phone
- (610) 751-0698
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | N8796 | TX | Primary |
Addresses
Primary practice location
1001 12TH Ave Ste 120
Fort Worth, TX 76104-3928
Mailing address
PO Box 92459
Southlake, TX 76092-0104
Phone (610) 751-0698
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 |
|---|---|---|---|
| 45D2123022 | Internal Medicine Care Group, PA | Certificate of waiver | Dec 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
1001 12th Ave
Ste 120
Fort Worth, TX 76104
Phone (817) 870-3627
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1043517402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778112000000",
"number": "1780133512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92459",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760920104",
"telephone_number": "610-751-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 120",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043928",
"telephone_number": "817-870-3627",
"fax_number": "877-935-8231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE CARE GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-21",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A",
"authorized_official_last_name": "KAYANI",
"authorized_official_first_name": "NADEEM",
"authorized_official_middle_name": "ZAMAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "610-751-0698"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "N8796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Integrity Mobile Phlebotomy Services
- Integrity Psych Care, LP
- Intentional Hearts Counseling and Consulting PLLC
- Rodrigo Benjamin Interiano, M.D.
- Internal Medicine Associates of South Texas PLLC
- International Healthcare Supplies & Equipments, Inc
- Interventional Consultants of Texas PLLC
- Interventional Partners PLLC
- Felicity Keota Inthisone
- Intimacy Counseling & Consulting
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.