| NPI | 1063483121 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-01-27 |
| Last Updated | 2022-07-21 |
| Mailing Address | Po Box 746079 Atlanta, GA 30374-6079 United States Phone: (312) 733-9730 | Fax: (773) 866-8014 📍 View Map |
| Primary Practice Address | 4115 E Lancaster Ave Fort Worth, TX 76103-3614 United States Phone: (817) 796-7370 | Fax: (817) 764-0714 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | CA | 00G56470 | Blue Cross |
| Other (non-Medicare) | CA | 00G56470 | United Healthcare |
| Other (non-Medicare) | CA | 00G56470 | Aetna |
| Other (non-Medicare) | CA | 00G56470 | Blue Shield |
| Other (non-Medicare) | CA | 942497568 | Blue Cross |
| Other (non-Medicare) | CA | 942497568 | Blue Shield |
| MEDICAID | CA | GR0066340 | — |
| MEDICAID | CA | Gr0006345 | — |
| Other (non-Medicare) | CA | ZZZ38477Z | Medicare Group ID |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | TX | S7117 |
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About NPI 1063483121
Constantine Phiripes MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063483121. The primary specialty listed is Internal Medicine. The provider is located in Fort Worth, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063483121?
NPI 1063483121 belongs to Constantine Phiripes MD, a Internal Medicine in Fort Worth, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063483121 active?
The current status of NPI 1063483121 in the NPPES registry is Active. The record was last updated on 2022-07-21.
What specialty is NPI 1063483121?
NPI 1063483121 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063483121?
You can verify NPI 1063483121 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063483121?
The primary practice address on file for NPI 1063483121 is 4115 E Lancaster Ave, Fort Worth, TX 76103-3614. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063483121 issued?
NPI 1063483121 was first issued (enumerated) on 2006-01-27. The NPPES record was last updated on 2022-07-21.
Practice Location Map
Constantine Phiripes is located at 4115 E Lancaster Ave, Fort Worth, TX. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Constantine Phiripes. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063483121. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | S7117 | TX |