DR. PHILIP BLANCO ANTIPORTA (M.D.) – Infectious Disease Physician, NPI 1104139732

DR. PHILIP BLANCO ANTIPORTA (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in INFECTIOUS DISEASE. They hold the professional credentials M.D.. They hold a License No. R8147 (TX). The NPI Number for DR. PHILIP BLANCO ANTIPORTA (M.D.) is 1104139732

Main info

Male
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP BLANCO ANTIPORTA (M.D.)
NPI
1104139732
Phone
(817) 887-9389
Address
1325 PENNSYLVANIA AVE STE 325
Enumeration Date
25 July 2010
Last Update Date
10 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8178879389
Graduation Year
2007 (19 years ago)
PAC ID
9739490699
Group Practice PAC ID
1557345774
Professional Enrollment ID
I20190130000626
Address ID
TX761042172FO1325XAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

674 INFECTIOUS DISEASE in TX

Provider Addresses for DR. PHILIP BLANCO ANTIPORTA (M.D.)

  • 1325 PENNSYLVANIA AVE STE 325

    FORT WORTH, TX 761042175

    Phone: (817) 887-9389

    Fax: (817) 887-9392

    Type: Location

  • PO BOX 802772

    DALLAS, TX 753802772

    Phone: (972) 484-7700

    Fax: (972) 484-7718

    Type: Mailing

  • 1325 PENNSYLVANIA AVE STE 350

    FORT WORTH, TX 761042172

    Phone: (817) 887-9389

    Fax: (817) 887-9392

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-01-30

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
I20190130000626IInfectious DiseaseTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes696161$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes259123$0
99214Established patient office or other outpatient visit, 30-39 minutes19073$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes11972$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7270$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: 1557345774View full group profile
NameSpecialtyState
Infectious DiseaseTX
Infectious DiseaseTX
Infectious DiseaseOH
Internal MedicineTX
Internal Medicine, Infectious DiseaseTX
Infectious DiseaseTX
Infectious Disease, Internal MedicineTX
Infectious DiseaseTX
Infectious DiseaseTX
Internal Medicine, Infectious DiseaseNY

Reviews

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Frequently asked questions

What unique ID ties claims to DR. PHILIP BLANCO ANTIPORTA (M.D.)?
NPI 1104139732 is assigned to DR. PHILIP BLANCO ANTIPORTA (M.D.) under the national enumeration system.
Is DR. PHILIP BLANCO ANTIPORTA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. PHILIP BLANCO ANTIPORTA (M.D.) as an active registrant.
What does DR. PHILIP BLANCO ANTIPORTA (M.D.) treat or focus on?
Patients typically see DR. PHILIP BLANCO ANTIPORTA (M.D.) under the specialty Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PHILIP BLANCO ANTIPORTA (M.D.)?
The snapshot lists Fort Worth, Texas for DR. PHILIP BLANCO ANTIPORTA (M.D.); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.