Doctor profile · Federal record
Dr. Paulina Purnama, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Fort Worth, TX
- NPI 1275724981
- Accepts Medicare
- 19 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
800 12Th Ave Ste 200
Fort Worth, TX 761042519
(214) 631-9881
fax (469) 482-2526 - Additional location
-
1149 Keller Pkwy Ste A
Keller, TX 762481620
Credentials & registration
- NPI registered
- August 2007 — 19 yrs on file
- Profile last updated
- May 3, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State license (1)
- Texas #PA11021
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1275724981. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$848
Transactions
9
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Pylant Medical | 5 | $538.42 | |
| Miach Orthopaedics, INC. | 1 | $175.90 | |
| Illuminoss Medical, INC. | 1 | $87.85 | |
| Pacira Pharmaceuticals Incorporated | 1 | $24.10 | |
| Curonix LLC | 1 | $21.48 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Paulina Purnama's medical specialty?
Dr. Paulina Purnama practices Surgical Physician Assistant in Fort Worth, TX.
Where does Dr. Paulina Purnama practice?
Dr. Paulina Purnama practices at 800 12Th Ave Ste 200, Fort Worth, TX 761042519. Office phone: 2146319881.
What is Dr. Paulina Purnama's NPI?
Dr. Paulina Purnama's National Provider Identifier (NPI) is 1275724981, issued by NPPES.
Does Dr. Paulina Purnama accept Medicare assignment?
Yes. Dr. Paulina Purnama accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.