TANYA KIDANDI
NPI 1104294875
Nurse Practitioner - Primary Care in Fort Worth, TX
NPI Status: Active since September 10, 2015
Contact Information
1325 PENNSYLVANIA AVE STE 560
FORT WORTH, TX
ZIP 76104
Phone: (817) 250-7240
- Individual
- Female
- Nurse Practitioner
- Primary Care
- PECOS Enrolled
About TANYA KIDANDI
This page provides the complete NPI Profile along with additional information for Tanya Kidandi, a provider established in Fort Worth, Texas with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1104294875 assigned on September 2015. The practitioner's primary taxonomy code is 363LP2300X with license number 1030527 (TX). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1104294875
- Provider Name
- TANYA KIDANDI
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1325 PENNSYLVANIA AVE STE 560 FORT WORTH, TX 76104
- Location Phone
- (817) 250-7240
- Mailing Address
- 2900 W OKLAHOMA AVE MILWAUKEE, WI 53215
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-10-2015
- Last Update Date
- 10-09-2024
- Code Navigator
A nurse practitioner (NP) like Tanya Kidandi is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 2900 W Oklahoma Ave
Milwaukee, WI 53215
(414) 649-6000
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Primary Care
- Taxonomy Code
- 363LP2300X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1030527
- License State
- TX
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 6586-33 (WI) |
Medicare Participation & PECOS Enrollment Status
Tanya Kidandi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Treatment-Chemotherapy (RH002N)
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg (HCPCS:J7503)
4 DME suppliers used 62 Medicare Claims 38040 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Tacrolimus, immediate release, oral, 1 mg (HCPCS:J7507)
3 DME suppliers used 21 Medicare Claims 2940 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Prednisolone oral, per 5 mg (HCPCS:J7510)
1 DME suppliers used 47 Medicare Claims 1410 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Prednisone, immediate release or delayed release, oral, 1 mg (HCPCS:J7512)
2 DME suppliers used 19 Medicare Claims 2850 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Mycophenolic acid, oral, 180 mg (HCPCS:J7518)
4 DME suppliers used 63 Medicare Claims 6660 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period (HCPCS:Q0511)
4 DME suppliers used 31 Medicare Claims 31 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
4 DME suppliers used 158 Medicare Claims 183 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 76104 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $87.2
- Minimum New Patient Price $56.47
- Maximum New Patient Price $171.07
- Average New Patient Copayment $21.8
- Minimum New Patient Copayment $14.11
- Maximum New Patient Copayment $42.76
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.68
- Minimum Established Patient Price $18.18
- Maximum Established Patient Price $139.68
- Average Established Patient Copayment $24.92
- Minimum Established Patient Copayment $4.54
- Maximum Established Patient Copayment $34.92
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for TANYA KIDANDI
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 2 | 9 | 4 | 8 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 4 | 9 | 8 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 4 + 9 + 8 + 8 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1104294875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366692758 | SUZANNE MARIE CRABTREE RD Individual | Dietitian, Registered | 1325 PENNSYLVANIA AVE STE 560 FORT WORTH, TX 76104 (817) 820-2890 |
| 1396989034 | KIMBERLY LATOYA WASHINGTON M.D. Individual | Surgery | 1325 PENNSYLVANIA AVE STE 560 FORT WORTH, TX 76104 (817) 250-7240 |
| 1740718873 | KAYLA COLVILL MD Individual | Surgery | 1325 PENNSYLVANIA AVE STE 560 FORT WORTH, TX 76104 (817) 250-7240 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104294875, enumerated in the NPI registry as an "individual" on September 10, 2015
The provider is located at 1325 Pennsylvania Ave Ste 560 Fort Worth, Tx 76104 and the phone number is (817) 250-7240
The provider's speciality is Nurse Practitioner with taxonomy code 363LP2300X with a focus in Primary Care
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $87.2 with an average copayment of $21.8 for new patient appointments. Established patients should expect a typical charge of $99.68 and an average copayment of 24.92. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 10, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.