Individual provider Active NPI

Clinton C Battle Jr., MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1942318753
Registry record updated Aug 26, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(3) exclusion effective Aug 18, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
F1368 Issued in TX
Practice address
817 Baker St
Fort Worth, TX 76104
Phone
(817) 921-6541
Fax
(888) 456-4198
NPI assigned
Aug 29, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X F1368 TX Primary

Addresses

Primary practice location

817 Baker St
Fort Worth, TX 76104

Mailing address

PO Box 171618
Arlington, TX 76003-1618
Phone (817) 921-6541

Other identifiers 3

IdentifierTypeStateIssuer
033011001MedicaidTX
751857683OtherTXTRICARE
7168854OtherTXCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
F1368TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Occupational and Medical Clinic Corp Internal Medicine CurrentSince Mar 16, 2021 Accepting new patients
Belyeu Medical Care Providers PLLC Past Accepting new patients
Arlington Occupational and Medical Clinic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1942318753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171618",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760031618",
            "telephone_number": "817-921-6541",
            "fax_number": "888-456-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BAKER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-921-6541",
            "fax_number": "888-456-4198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATTLE",
        "first_name": "CLINTON",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F1368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033011001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "751857683",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7168854",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.