P Praxis·MD
● Active Type 1 · Individual

DR. Suresh Kankanala, M.D.

Internal Medicine·Fort Worth, TX· NPI 1922211697 · Enumerated 2007 · 19 years on NPI
Kankanala is 1 of 454 internal medicine providers in Fort Worth and 1 of 12343 in Texas.
NPI age
19 years
Enumerated 2007-05-08
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX, OH
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-04-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 12343 active internal medicine providers in Texas.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 88% — 12% of peers are multi-state
Subspecialties
1
In the 33% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
1023 Lipscomb St Ste 200
Fort Worth, TX 761043130
📞 9725446600fax 9725446604
Mailing address
1023 Lipscomb St Ste 200
Fort Worth, TX 761043130
📞 9725446600fax 9725446604

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    TX license #N5145 taxonomy 207R00000X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    OH license #57-011410 taxonomy 390200000X

Identifiers

TypeValueNotes
05 (TX) 214605201
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 12343 Internal Medicine providers in Texas?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related