Individual provider Active NPI

Balamurugan Ponniah Sankarapandian, M.D.

  • Nephrology Physician
  • Fort Worth, TX
National Provider Identifier
1881816437
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N4721 Issued in TX
Practice address
1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone
(817) 877-5858
Fax
(817) 335-4418
NPI assigned
May 3, 2007
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N4721 TX
Nephrology Physician 207RN0300X N4721 TX Primary

Addresses

Primary practice location

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228

Mailing address

1000 W Cannon St
Fort Worth, TX 76104-3029
Phone (817) 877-5858

Other identifiers 2

IdentifierTypeStateIssuer
8U1257OtherTXBLUE CROSS
205450401MedicaidTX

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
I20090817000366 TX Practitioner - NephrologyPractitioner - Internal Medicine 1658425244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PPG Health PAGroup PAC ID 7113904657, 32 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Fort Worth, TX 76104-2228
Phone (817) 877-5907

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4721TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PPG Health, PA Internal Medicine CurrentSince Jun 1, 2009 Accepting new patients
PPG Special Procedures, LLC Current Accepting new patients
Acclaim Physician Group, Inc Internal Medicine CurrentSince May 1, 2016 Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

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

3848 North Tarrant Pkwy
Ste 160
Fort Worth, TX 76244
Phone (817) 725-7880

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

1001 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 618-9997

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

9947 N MacArthur Blvd
Ste 150
Irving, TX 75063
Phone (817) 406-2064

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881816437",
    "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": "817-877-5858",
            "fax_number": "817-335-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042228",
            "telephone_number": "817-877-5858",
            "fax_number": "817-335-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANKARAPANDIAN",
        "first_name": "BALAMURUGAN",
        "middle_name": "PONNIAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4721",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N4721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8U1257",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205450401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.