FORTWORTH RENAL GROUP PA – NPI #1033560222
Internal Medicine

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.

FORTWORTH RENAL GROUP PA is a provider located in FORT WORTH, TX. NPPES has assigned the NPI number 1033560222 to FORTWORTH RENAL GROUP PA on June 28, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Oct 24, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FORTWORTH RENAL GROUP PA below.

NPI Profile for
FORTWORTH RENAL GROUP PA

NPI Number
1033560222
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FORTWORTH RENAL GROUP PA
Primary location
1902 WINDSOR PL STE 102
FORT WORTH, TX 76110-1866
Phone: (682) 207-1700 Fax: (682) 250-5246
6 Other location(s):
11803 South Fwy Ste 201
Burleson, TX 76028-7029
Phone: (682) 207-1700
Fax: (682) 250-5246
10840 Texas Health Trl Ste 200
Fort Worth, TX 76244-6848
Phone: (682) 207-1700
Fax: (682) 250-5246
5901 S Hulen St Ste B
Fort Worth, TX 76132-2687
Phone: (682) 207-1700
Fax: (682) 250-5246
6312 Azle Ave
Lake Worth, TX 76135-2442
Phone: (682) 207-1700
Fax: (682) 250-5246
4351 Booth Calloway Rd Ste 404
North Richland Hills, TX 76180-7381
Phone: (682) 207-1700
Fax: (682) 250-5246
101 Crown Pointe Blvd Ste 340
Willow Park, TX 76087-1197
Phone: (682) 207-1700
Fax: (682) 250-5246
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLADAPO AFOLABI
CEO
Phone: (817) 360-6081
Updated
Certification Date
Oct 24, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for FORTWORTH RENAL GROUP PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX1033560222
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.