Southlake Orthopedics & Sports Medicine, PLLC
NPI 1871099739 · Orthopaedic Surgery Physician · Fort Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southlake Orthopedics & Sports Medicine, PLLC is a Orthopaedic Surgery Physician organization in Fort Worth, TX (NPI 1871099739).
Provider details
- NPI number
- 1871099739
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bantoo Sehgal, Owner(214) 631-9881
- License
- R0125 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Summit Orthopedics of Texas
- Doing business as
- Summit Orthopedics of Texas
Additional practice locations (1)
- 1149 Keller Pkwy Ste aKeller, TX 76248-1620Phone: (214) 631-9881Fax: (469) 482-2526
Registry dates
- Enumerated
- 2018-03-31
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Southlake Orthopedics & Sports Medicine, PLLC's NPI number?
- Southlake Orthopedics & Sports Medicine, PLLC's National Provider Identifier (NPI) is 1871099739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Orthopedics & Sports Medicine, PLLC?
- Southlake Orthopedics & Sports Medicine, PLLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Orthopedics & Sports Medicine, PLLC located?
- Southlake Orthopedics & Sports Medicine, PLLC's practice location on file with NPPES is 800 12th Ave Ste 200, Fort Worth, TX 76104-2519.
- What is Southlake Orthopedics & Sports Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Orthopedics & Sports Medicine, PLLC is (214) 631-9881.
- Does Southlake Orthopedics & Sports Medicine, PLLC accept Medicare?
- Southlake Orthopedics & Sports Medicine, PLLC 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 Southlake Orthopedics & Sports Medicine, PLLC?
- The authorized official listed on Southlake Orthopedics & Sports Medicine, PLLC's NPPES record is Bantoo Sehgal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Orthopedics & Sports Medicine, PLLC's NPI active?
- Yes — Southlake Orthopedics & Sports Medicine, PLLC's NPI (1871099739) is active in the NPPES registry as of the last update on 2026-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.