NATALIE VIDAL JIMENEZ (MD) – Internal Medicine Physician, NPI 1003443599

NATALIE VIDAL JIMENEZ (MD) is a healthcare provider. based in Fort worth, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. U5552 (TX). The NPI Number for NATALIE VIDAL JIMENEZ (MD) is 1003443599

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE VIDAL JIMENEZ (MD)
NPI
1003443599
Phone
(817) 336-2100
Address
900 8TH AVE
Enumeration Date
24 March 2020
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3466393506
Graduation Year
2018 (8 years ago)
PAC ID
4183085624
Group Practice PAC ID
8325423650
Professional Enrollment ID
I20230801002075
Address ID
TX761647131FO2755XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for NATALIE VIDAL JIMENEZ (MD)

  • 900 8TH AVE

    FORT WORTH, TX 761043902

    Phone: (817) 336-2100

    Type: Location

  • 3308 DEEN RD

    FORT WORTH, TX 761066524

    Phone: (817) 702-1100

    Type: Location

  • 900 8th Ave

    Fort Worth, TX 761043902

    Phone: (817) 336-2100

    Type: Location

  • 211 E 7TH ST STE 700

    AUSTIN, TX 787013218

    Phone: (888) 478-8432

    Type: Mailing

  • 2755 ELLIS AVE

    FORT WORTH, TX 761647131

    Phone: (888) 478-8432

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $166.

Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.

Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Biosense Webster, Inc. ($147).

Total Amount

$166

General + Research + Ownership

Payments

2

Total payment records

General Amount

$166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230801002075IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325423650View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Internal MedicineTX
Internal MedicineTX
Family PracticeTX
Physical Therapist In Private PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Physical Therapist In Private PracticeTX
Nurse PractitionerPA

Reviews

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Frequently asked questions

How do I look up NATALIE VIDAL JIMENEZ (MD) by NPI?
Use NPI 1003443599 when you need to reference NATALIE VIDAL JIMENEZ (MD) in forms, claims, or directories.
Is NATALIE VIDAL JIMENEZ (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize NATALIE VIDAL JIMENEZ (MD)'s specialty in plain language?
Clinically, the directory lists NATALIE VIDAL JIMENEZ (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does NATALIE VIDAL JIMENEZ (MD) practice in Texas?
You will see Fort Worth, Texas on file for NATALIE VIDAL JIMENEZ (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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