SURESH KANKANALA M.D, P.A. – Primary Care Clinic/Center, NPI 1053762237

SURESH KANKANALA M.D, P.A. is a healthcare provider. based in Fort worth, Texas. specializing in Primary Care Clinic/Center. The organization holds a License No. N5145 (TX). The NPI Number for SURESH KANKANALA M.D, P.A. is 1053762237

Main info

Organization
Name
SURESH KANKANALA M.D, P.A.
NPI
1053762237
Phone
Not provided
Address
923 COLLEGE AVE
Authorized Official
DR. SURESH BABU KANKANALA PRESIDENT M.D
Enumeration Date
28 June 2016
Last Update Date
8 August 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for SURESH KANKANALA M.D, P.A.

  • 923, College Avenue, Fairmount, Fort Worth, Tarrant County, Texas, 76104, United States

    SUITE 103

    FORT WORTH, TX 761043050

    Phone:

    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)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76104)

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Reviews

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Frequently asked questions

Can I cross-check SURESH KANKANALA M.D, P.A. using NPI 1053762237?
NPI 1053762237 belongs to SURESH KANKANALA M.D, P.A.; compare other details if you need extra assurance.
Is SURESH KANKANALA M.D, P.A. shown as active in public data?
Registry records indicate SURESH KANKANALA M.D, P.A. maintains an active NPI.
How would a patient describe SURESH KANKANALA M.D, P.A.'s focus?
For SURESH KANKANALA M.D, P.A., the primary taxonomy reads as Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SURESH KANKANALA M.D, P.A.?
Travel planning: use Fort Worth, Texas as the reference point for SURESH KANKANALA M.D, P.A., then confirm.
When was this NPI issued?
Enumeration for SURESH KANKANALA M.D, P.A. is noted as June 28, 2016 where the registry provides it.

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