ENEDINA ENRIQUEZ ALCANTARA (MD) – Internal Medicine Physician, NPI 1467449108

ENEDINA ENRIQUEZ ALCANTARA (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. 36397 (IA). The NPI Number for ENEDINA ENRIQUEZ ALCANTARA (MD) is 1467449108

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
ENEDINA ENRIQUEZ ALCANTARA (MD)
NPI
1467449108
Phone
(817) 820-4906
Address
1300 W TERRELL AVE FL 2
Enumeration Date
27 September 2005
Last Update Date
13 August 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8178204906
Graduation Year
1990 (36 years ago)
PAC ID
0648168658
Group Practice PAC ID
4385535954
Professional Enrollment ID
I20071205000229
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for ENEDINA ENRIQUEZ ALCANTARA (MD)

  • West Terrell Avenue, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761042820

    Phone: (817) 820-4906

    Fax: (817) 820-4815

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $160.

Total Amount is formed as General ($160) + Research ($0) + Ownership ($0) = $160.

Last reported payment date: 2024-10-08 • Largest payer in this snapshot: PFIZER INC. ($55).

Total Amount

$160

General + Research + Ownership

Payments

9

Total payment records

General Amount

$160

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-08

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: 2007-12-05

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
I20071205000229IInternal 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes142139$0
99497Advance care planning, first 30 minutes1717$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: 4385535954View full group profile
NameSpecialtyState
Internal MedicineTX
Vascular SurgeryPA
Internal MedicineTX
-TX
-TX
-TX
-TX
-TX
Cardiovascular Disease (Cardiology), Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What number should I use to identify ENEDINA ENRIQUEZ ALCANTARA (MD) for billing?
Administrative and clinical systems typically use NPI 1467449108 for ENEDINA ENRIQUEZ ALCANTARA (MD).
Does the public listing show ENEDINA ENRIQUEZ ALCANTARA (MD) as active?
ENEDINA ENRIQUEZ ALCANTARA (MD)'s NPI record reflects an active status in NPPES.
What does the directory say ENEDINA ENRIQUEZ ALCANTARA (MD) does?
Insurance directories may phrase it differently, but here ENEDINA ENRIQUEZ ALCANTARA (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ENEDINA ENRIQUEZ ALCANTARA (MD) tied to Fort Worth, Texas?
If you are local to Fort Worth, Texas, ENEDINA ENRIQUEZ ALCANTARA (MD) may be relevant to your search.
Can I export ENEDINA ENRIQUEZ ALCANTARA (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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