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NPI · 1558655274 · NPPES-sourced

Fort Worth Lung Clinic, PA

ActivePrimary Care Clinic
NPI Number
1558655274
Type 2 · Organisation
Taxonomy Code
261QP2300X
Contact
(817) 568-8411
License TX · N0617
Last Updated
Enumerated
Primary practice addressTX · 76028-8460
11803 South Fwy Ste 136Burleson, TX 76028-8460
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About this NPIWhat this record shows.

NPI 1558655274 is registered to Fort Worth Lung Clinic, PA, a healthcare organisation classified as "Primary Care Clinic" and located at 11803 South Fwy Ste 136 in Burleson, Texas. The organisation's authorised official is Dereje Ayo. The organisation has been enumerated in the NPI registry since 2011.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • N0617TX· Issued by LICENCE

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Fort Worth Lung Clinic, PA accepts. To confirm in-network status with your specific health plan, contact Fort Worth Lung Clinic, PA directly at (817) 568-8411.

Frequently asked

Yes. NPI 1558655274 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Primary Care Clinic is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (817) 568-8411.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Fort Worth Lung Clinic, PA is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy261QP2300X
Last updated
Enumerated
StatusActive
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