North Tarrant Health Providers PLLC
NPI 1063906964ActiveOrganization· Surgery· Fort Worth, TX
Surgery in Fort Worth, Texas, registered in NPPES in June 2018. The authorized official on file is Balaguru Sambandam, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063906964 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 14, 2018 |
| Last updated in NPPES | Jan 17, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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