Individual provider Active NPI

Priyanka Bachubhai Jalandhara, MD

  • Rheumatology Physician
  • Fort Worth, TX
National Provider Identifier
1821222084
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
R1783 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 170
Fort Worth, TX 76177
Phone
(817) 725-7900
NPI assigned
May 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125055643 IL
Rheumatology Physician 207RR0500X MD20211 ME
Rheumatology Physician 207RR0500X R1783 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 170
Fort Worth, TX 76177

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 725-7900

Other practice location 1

3025 N Tarrant Pkwy Ste 170
Fort Worth, TX 76177
Phone (817) 725-7900

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
I20171221000192 TX Practitioner - Rheumatology 9638399728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Arthritis Center LLCGroup PAC ID 3274960596, 2 clinicians

Practice addresses (Care Compare)

4375 Booth Calloway Rd
Suite 208
North Richland Hills, TX 76180-8362
Phone (817) 865-3939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125055643ILMDInternal Medicine Physician
R1783TXMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Arthritis Center LLC Rheumatology CurrentSince Mar 1, 2020 Accepting new patients

Locations

7570 N Beach St
Ste 106
Fort Worth, TX 76137
Phone (817) 865-3939

4375 Booth Calloway Rd
Ste 208
Richland Hills, TX 76180
Phone (817) 865-3939

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEBACD/Endpoint/HEBACD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1821222084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-725-7900",
            "fax_number": "682-207-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76177",
            "telephone_number": "817-725-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3025 N Tarrant Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "76177",
            "country_code": "US",
            "telephone_number": "817-725-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JALANDHARA",
        "first_name": "PRIYANKA",
        "middle_name": "BACHUBHAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-03",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125055643",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "ME",
            "license": "MD20211",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "R1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.