| Dr Raju Amaregouda Patil, MD, MPH | |
|
1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 | |
| (682) 207-1700 | |
| (682) 250-5246 |
| Full Name | Dr Raju Amaregouda Patil |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 25 Years |
| Location | 1902 Windsor Pl Ste 102, Fort Worth, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457526832 | NPI | - | NPPES |
| 396787901 | Medicaid | TX | |
| 1457526832 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | R6256 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Us Renal Care Tarrant Dialysis North Richland Hills | North richland hills, TX | Dialysis facility |
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Medical City Alliance | Fort worth, TX | Hospital |
| Texas Health Harris Methodist Hospital Alliance | Fort worth, TX | Hospital |
| Medical City North Hills | North richland hills, TX | Hospital |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fortworth Renal Group Pa | 7416244504 | 17 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Entity Name | Fortworth Renal Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033560222 PECOS PAC ID: 7416244504 Enrollment ID: O20160916000878 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Raju Amaregouda Patil, MD, MPH 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700 | Dr Raju Amaregouda Patil, MD, MPH 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700 |
Dr. Nawal Shaikh, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Main St Ste 502, Fort Worth, TX 76104 Phone: 817-702-8400 Fax: 817-702-3982 | |
Charles A Carlton, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708 | |
Paul J Garcia, DO Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010 | |
Stevan A Gonzalez, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645 | |
Elie B Choufani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305 | |
Syed Hadi Jafri, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815 | |
Cheryl K Mcdonald, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1125 College Ave, Fort Worth, TX 76104 Phone: 817-810-9810 Fax: 817-810-9815 |