DR. SARAVANAN BALAMUTHUSAMY (NPI# 1932395811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932395811 |
| Entity Type | Individual |
| Full Name | DR. SARAVANAN BALAMUTHUSAMY |
| Credential | M.D. |
| Practice Address |
1001 Pennsylvania Ave Fort Worth TX 76104-2228 |
| Mailing Address |
1000 W Cannon St Fort Worth TX 76104-3029 |
| Practice Telephone | 8178775858 |
| Practice Fax Number | 8173354418 |
| Mailing Telephone | 8178775858 |
| Mailing Fax Number | 8173354418 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Q2427 | TX | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 201657 | LA | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Q2427 | TX | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
43632 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
20565 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 342884901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5203 Lake Ridge Pkwy Ste 101, Grand Prairie, TX 750523017 | 8176339590 |
| Street Address |
1001 PENNSYLVANIA AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699767798 | Ponniah S Sankarapandian | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2005-08-16 |
| 1851839740 | Angella Clarke | Nurse Practitioner | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2017-02-10 |
| 1396175535 | Whitney Marie Kirkpatrick | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2013-11-26 |
| 1043645476 | Lisa Philip Mathew | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2013-09-04 |
| 1417221755 | Jennifer A Johnson | Clinical Nurse Specialist | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2012-03-05 |
| 1043453293 | Machaiah M Madhrira | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2009-04-16 |
| 1306095849 | Osama Mohamed Elmhishi | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1912156407 | Chinnapa R Gade | Registered Nurse | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-09-09 |
| 1700061819 | Sridhar Reddy Allam | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2008-01-08 |
| 1992989206 | Peter Brian Ramirez | Internal Medicine | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487070751 | Texas Health Care, P.l.l.c. | Internal Medicine | 6100 Harris Pkwy Ste 260, Fort Worth, TX 76132-4101 | 2014-03-11 |
| 1740539196 | Muhammad Omar Azam | Internal Medicine | 711 Pennsylyvania Ave, Fort Worth, TX 76104222 | 2012-08-30 |
| 1003143165 | Texas Health Care, P.l.l.c. | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2009-11-11 |
| 1548449663 | Fysal Albaalbaki | Internal Medicine | 508 South Adams, Suite 102, Fort Worth, TX 76104-2151 | 2007-10-25 |
| 1457543902 | Ntkc Management, LLC | Internal Medicine | 1049 Clifton St, Fort Worth, TX 76107-2628 | 2007-08-17 |
| 1184739849 | Thomas Rajan | Internal Medicine | 1634 Mistletoe Blvd, Fort Worth, TX 76104-4012 | 2006-08-20 |
| 1932116902 | Nishant B Jalandhara | Internal Medicine | 4420 Heritage Trace Pkwy Ste 312, Fort Worth, TX 76244-8904 | 2006-08-02 |
| 1700891579 | Raghuveer Vanguru | Internal Medicine | 10700 Victoria Ash Dr, Fort Worth, TX 76244-6392 | 2006-07-30 |
| 1205869773 | Carlos S Bahrami | Internal Medicine | 508 S Adams St Ste 102, Fort Worth, TX 76104-2151 | 2006-07-08 |
| 1184669673 | Clinical Nephrology Associates, Pa | Internal Medicine | 1700 Mistletoe Blvd, Fort Worth, TX 76104-4042 | 2006-06-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.