DR. IRA S. WOLKE (M.D., PH.D.) – Diagnostic Radiology Physician, NPI 1831150200

DR. IRA S. WOLKE (M.D., PH.D.) is a healthcare provider. based in Fort worth, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 036.100183 (IL). The NPI Number for DR. IRA S. WOLKE (M.D., PH.D.) is 1831150200

Main info

Male
Sole Proprietor
33 Years Of Experience
Name
DR. IRA S. WOLKE (M.D., PH.D.)
NPI
1831150200
Phone
(817) 321-0404
Address
816 W Cannon St
Enumeration Date
28 March 2006
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8173210404
Graduation Year
1993 (33 years ago)
PAC ID
6709895154
Group Practice PAC ID
7911897301
Professional Enrollment ID
I20170613002080
Address ID
TX756705358MA815XXAVEX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience96
Completeness75
Years active:20State licenses:4Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

Provider Addresses for DR. IRA S. WOLKE (M.D., PH.D.)

  • 816 W Cannon St

    Fort Worth, TX 761043194

    Phone: (817) 321-0404

    Type: Location

  • 930 GLENAYRE DR

    GLENVIEW, IL 600253106

    Phone: (312) 441-1313

    Type: Location

  • Kinzie Park Tower, 501, North Clinton Street, Kinzie Park, Chicago, Cook County, Illinois, 60654, United States

    APARTMENT 1504

    CHICAGO, IL 606548886

    Phone: (312) 441-1313

    Fax: (312) 441-1313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 19 Medicare enrollment records; no due dates published yet.

Enrollment records

19

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060412000265IDiagnostic RadiologyILTBD
I20090521000581IDiagnostic RadiologyOHTBD
I20100113000817IDiagnostic RadiologyCATBD
I20150128001311IDiagnostic RadiologyPATBD
I20170306001913IDiagnostic RadiologyNCTBD
I20170613002080IDiagnostic RadiologyTXTBD
I20190523000792IDiagnostic RadiologyFLTBD
I20190719002322IPediatric MedicineOHTBD
I20220105001677IDiagnostic RadiologyMOTBD
I20240322001507IDiagnostic RadiologyGATBD
I20240326000359IDiagnostic RadiologyIATBD
I20240326000778IDiagnostic RadiologyINTBD
I20240329002740IDiagnostic RadiologyARTBD
I20240401001920IDiagnostic RadiologyNJTBD
I20240402000060IDiagnostic RadiologySCTBD
I20240402001733IDiagnostic RadiologyWITBD
I20240402001847IDiagnostic RadiologyMNTBD
I20240403002308IDiagnostic RadiologyTNTBD
I20240404002294IDiagnostic RadiologyNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view7772$0
71046X-ray of chest, 2 views5454$0
71250Ct scan of chest without contrast3939$0
71260Ct scan of chest with contrast3737$0
74177Ct scan of abdomen and pelvis with contrast3735$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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Provider's Procedures

DR. IRA S. WOLKE (M.D., PH.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYIL71010X-ray of chest, 1 view, front1313

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911897301View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Diagnostic RadiologyTX
Nuclear Medicine, Diagnostic RadiologyTX
Diagnostic RadiologyTX
-TX
-TX
Interventional Radiology, Diagnostic RadiologyTX
Nurse PractitionerTX

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Frequently asked questions

Can I verify DR. IRA S. WOLKE (M.D., PH.D.) with an NPI only?
You can start verification with NPI 1831150200 for DR. IRA S. WOLKE (M.D., PH.D.), then check state licensing separately.
Is DR. IRA S. WOLKE (M.D., PH.D.) listed as active for patients and plans?
The listing shows DR. IRA S. WOLKE (M.D., PH.D.) as active in the NPI system.
What taxonomy line describes DR. IRA S. WOLKE (M.D., PH.D.)?
For research purposes, treat DR. IRA S. WOLKE (M.D., PH.D.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. IRA S. WOLKE (M.D., PH.D.) based?
DR. IRA S. WOLKE (M.D., PH.D.) is tied to Fort Worth, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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