Forma Medical Group LLC
NPI 1073227179 · Clinical Medical Laboratory · Lewisville, TX
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Forma Medical Group LLC is a Clinical Medical Laboratory organization in Lewisville, TX (NPI 1073227179).
Provider details
- NPI number
- 1073227179
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Anup Tilak, Owner(319) 594-4108
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
3 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
21,695 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Detection Test By Nucleic Acid for Organism, Amplified Probe Technique87798 | 9,724 | $34 |
| Identification of Organisms By Genetic Analysis, Amplified Probe Technique87150 | 2,283 | $34 |
| Detection Test for Candida Species (yeast), Amplified Probe Technique87481 | 1,513 | $34 |
| Detection Test By Nucleic Acid for Vancomycin Resistance Strep (vre), Amplified Probe Technique87500 | 761 | $34 |
| Detection Test By Nucleic Acid for Staphylococcus Aureus (bacteria), Amplified Probe Technique87640 | 748 | $34 |
| Detection Test By Nucleic Acid for Staphylococcus Aureus, Methicillin Resistant (mrsa Bacteria), Amplified Probe Technique87641 | 695 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dallas Diagnostic Center
- Doing business as
- Dallas Diagnostic Center
Registry dates
- Enumerated
- 2023-01-12
- Last updated
- 2025-03-06
- Certified
- 2025-03-06
Frequently asked questions
- What is Forma Medical Group LLC's NPI number?
- Forma Medical Group LLC's National Provider Identifier (NPI) is 1073227179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Forma Medical Group LLC?
- Forma Medical Group LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Forma Medical Group LLC located?
- Forma Medical Group LLC's practice location on file with NPPES is 570 Edmonds Lane, Suite - 104 / 106b, Lewisville, TX 75067-3542.
- What is Forma Medical Group LLC's phone number?
- The practice phone number listed in the NPPES registry for Forma Medical Group LLC is (319) 594-4108.
- Does Forma Medical Group LLC accept Medicare?
- Forma Medical Group LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Forma Medical Group LLC?
- The authorized official listed on Forma Medical Group LLC's NPPES record is Anup Tilak, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Forma Medical Group LLC's NPI active?
- Yes — Forma Medical Group LLC's NPI (1073227179) is active in the NPPES registry as of the last update on 2025-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.