Individual provider Active NPI

Pooja Patel

  • Acute Care Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1972374866
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1142327 Issued in TX
Practice address
1615 Hospital Pkwy Ste 200
Bedford, TX 76022-5935
Phone
(817) 916-8877
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1142327 TX Primary

Addresses

Primary practice location

1615 Hospital Pkwy Ste 200
Bedford, TX 76022-5935

Mailing address

300 Ridgewood Dr
Lewisville, TX 75067-8247

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123001602 TX Practitioner - Nurse Practitioner 5092167379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology and Electrophysiology Clinic Fort Worth PCGroup PAC ID 5890139224, 4 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Suite 134
Fort Worth, TX 76104-3927
Phone (817) 368-6480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1142327TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priya Subramanian MD PA CurrentSince Jan 5, 2024 Accepting new patients
Cardiology and Electrophysiology Clinic Fort Worth PC CurrentSince Feb 16, 2026 Accepting new patients
Nikhil Bhayani MD PA CurrentSince Jan 5, 2024 Accepting new patients

Locations

2700 Tibbets Dr
Ste 408
Bedford, TX 76022
Phone (817) 545-8895

1615 Hospital Pkwy
Ste 200
Bedford, TX 76022
Phone (817) 684-5252

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

1001 12th Ave
Ste 134
Ft Worth, TX 76104
Phone (817) 368-6480

2003 Rockview Dr
Granbury, TX 76049
Phone (817) 279-0399

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1972374866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 RIDGEWOOD DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HOSPITAL PKWY STE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225935",
            "telephone_number": "817-916-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1142327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.