Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162) — for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1124172010
Venkat Eswara-Rao NamburuM.D.
Active
NPI Number1124172010
NPI TypeNPI-1 Individual
SpecialtyInternal Medicine, Gastroenterology
Provider Details
NPI1124172010
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-01-22
Last Updated2016-05-06
Mailing Address7633 Bellaire Dr S, Suite 105
Fort Worth, TX 76132-4311
United States
Phone: (817) 386-5767 | Fax: (817) 386-5857
📍 View Map
Primary Practice Address7633 Bellaire Dr S, Suite 105
Fort Worth, TX 76132-4311
United States
Phone: (817) 386-5767 | Fax: (817) 386-5857
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDTX151742702
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RG0100X – Internal Medicine, GastroenterologyTXL3766
Export Provider Record NPI 1124172010
Search for More Providers
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →

About NPI 1124172010

Venkat Eswara-Rao Namburu M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1124172010. The primary specialty listed is Internal Medicine, Gastroenterology. 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 2007-01-22. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124172010?

NPI 1124172010 belongs to Venkat Eswara-Rao Namburu M.D., a Internal Medicine, Gastroenterology in Fort Worth, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124172010 active?

The current status of NPI 1124172010 in the NPPES registry is Active. The record was last updated on 2016-05-06.

What specialty is NPI 1124172010?

NPI 1124172010 is classified under the taxonomy Internal Medicine, Gastroenterology. 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 1124172010?

You can verify NPI 1124172010 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 1124172010?

The primary practice address on file for NPI 1124172010 is 7633 Bellaire Dr S, Fort Worth, TX 76132-4311. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124172010 issued?

NPI 1124172010 was first issued (enumerated) on 2007-01-22. The NPPES record was last updated on 2016-05-06.

Practice Location Map

Venkat Eswara-Rao Namburu is located at 7633 Bellaire Dr S, Fort Worth, TX. Use the map below to find directions or verify the practice location.

📍 7633 Bellaire Dr S, Fort Worth, TX 76132-4311  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Venkat Eswara-Rao Namburu. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124172010. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine, GastroenterologyL3766TX
Data Verified from CMS NPPES Last synced: 2026-06-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162