NPIMap

Organization Active NPI

Nasa Healthcare Services LLC

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1982287942
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NASA HEALTHCARE SERVICES LLC
Practice address
6609 McCart Ave
Fort Worth, TX 76133-5633
Phone
(817) 386-7670
Fax
(682) 428-7559
NPI assigned
Apr 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Agnes Mongina AondoNPI 1265982698
Title
Owner
Phone
(817) 386-7670

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6609 McCart Ave
Fort Worth, TX 76133-5633

Mailing address

6609 McCart Ave
Fort Worth, TX 76133-5633
Phone (817) 386-7670

Other names 1

  • NASA HEALTHCARE SERVICES LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210510002279 TX Part B Supplier - Clinic/Group Practice 8325457013 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24614/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1982287942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6609 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335633",
            "telephone_number": "817-386-7670",
            "fax_number": "682-428-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6609 MCCART AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761335633",
            "telephone_number": "817-386-7670",
            "fax_number": "682-428-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASA HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "AONDO",
        "authorized_official_first_name": "AGNES",
        "authorized_official_middle_name": "MONGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-386-7670"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NASA HEALTHCARE SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "NASA HEALTHCARE SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.