Balaguru Kolandavelo Sambandam, MD - Medicare General Surgery in Fort Worth, TX

Balaguru Kolandavelo Sambandam, MD is a medicare enrolled "Surgery" physician in Fort Worth, Texas. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2008 and has 16 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Texas Health Physicians Group and his current practice location is 3025 N Tarrant Pkwy Ste 100, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 717-5268.

Balaguru Kolandavelo Sambandam is licensed to practice in Texas (license number P5128) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265694731.

Contact Information

Balaguru Kolandavelo Sambandam, MD
3025 N Tarrant Pkwy Ste 100,
Fort Worth, TX 76177-8625
(817) 717-5268
(817) 717-8021

Map and Direction




Physician's Profile

Full NameBalaguru Kolandavelo Sambandam
GenderMale
SpecialityGeneral Surgery
Experience16 Years
Location3025 N Tarrant Pkwy Ste 100, Fort Worth, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Balaguru Kolandavelo Sambandam attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2008
  NPI Data:
  • NPI Number: 1265694731
  • Provider Enumeration Date: 06/26/2008
  • Last Update Date: 01/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8426291501
  • Enrollment ID: I20130821000966

Medical Identifiers

Medical identifiers for Balaguru Kolandavelo Sambandam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265694731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery P5128 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Texas Health Harris Methodist Hospital Fort WorthFort worth, TXHospital
Wise Regional Health SystemDecatur, TXHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Balaguru Kolandavelo Sambandam allows following entities to bill medicare on his behalf.
Entity NameTexas Health Physicians Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174573596
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759
Entity NameNorth Tarrant Health Providers Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063906964
PECOS PAC ID: 8325396641
Enrollment ID: O20180802002932

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Balaguru Kolandavelo Sambandam is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Balaguru Kolandavelo Sambandam, MD
1540 Keller Pkwy # 108-249,
Keller, TX 76248-3686

Ph: (817) 717-5268
Balaguru Kolandavelo Sambandam, MD
3025 N Tarrant Pkwy Ste 100,
Fort Worth, TX 76177-8625

Ph: (817) 717-5268

Reviews and Comments


Surgery Doctors in Fort Worth, TX

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Dr. Nabeel M Shabout, M.D.
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Miss Ruth Ellen Jones, M. D.
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Phone: 682-885-7080    Fax: 682-885-7085

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.