Organization Active NPI

Tarrant Endocrine Associates, PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Bedford, TX
National Provider Identifier
1831666460
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
TARRANT ENDOCRINE ASSOCIATES, PLLC
Practice address
1615 Hospital Pkwy Ste 202
Bedford, TX 76022-5935
Phone
(817) 684-5175
Fax
(817) 684-5180
NPI assigned
Nov 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. Vani Kotha, MDNPI 1124233846
Title
MD
Phone
(817) 684-5175

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1615 Hospital Pkwy Ste 202
Bedford, TX 76022-5935

Mailing address

1615 Hospital Pkwy Ste 202
Bedford, TX 76022-5935
Phone (817) 684-5175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190228000519 TX Part B Supplier - Clinic/Group Practice 5193064616 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1831666460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225935",
            "telephone_number": "817-684-5175",
            "fax_number": "817-684-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 202",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225935",
            "telephone_number": "817-684-5175",
            "fax_number": "817-684-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARRANT ENDOCRINE ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "KOTHA",
        "authorized_official_first_name": "VANI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-684-5175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.