GATEWAY DIAGNOSTIC IMAGING LLC – Radiology Clinic/Center, NPI 1053462655
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for GATEWAY DIAGNOSTIC IMAGING LLC
Boulevard 26, North Richland Hills, Tarrant County, Texas, 76180, United States
SUITE 210
NORTH RICHLAND HILLS, TX 761805672
Phone: (817) 428-3929
Fax: (214) 382-1903
Type: Mailing
9155 BOULEVARD 26 STE 210
NORTH RICHLAND HILLS, TX 761805672
Phone: (817) 428-3929
Fax: (214) 382-1903
Type: Location
PO BOX 746662
ATLANTA, GA 303746662
Phone: (877) 275-9077
Fax: (720) 974-0370
Type: Mailing
9155 Boulevard 26 Ste 210
North Richland Hills, TX 761805672
Phone: (817) 428-3929
Fax: (214) 382-1903
Type: Location
3310 Live Oak St Ste 210
Dallas, TX 752046120
Phone: (214) 935-5566
Fax: (214) 393-9707
Type: Location
400 W Arbrook Blvd Ste 150
Arlington, TX 760143181
Phone: (817) 776-4001
Fax: (817) 796-9678
Type: Location
4349 S Treadaway Blvd
Abilene, TX 796027803
Phone: (325) 695-4624
Fax: (325) 695-4625
Type: Location
3060 Communications Pkwy Ste 103
Plano, TX 750938479
Phone: (972) 378-3200
Fax: (972) 378-3600
Type: Location
3021 E Renner Rd Ste 120
Richardson, TX 750823579
Phone: (214) 428-3929
Fax: (214) 428-1500
Type: Location
4533 Heritage Trace Pkwy Ste 1401
Fort Worth, TX 762448300
Phone: (817) 799-6700
Fax: (817) 999-9114
Type: Location
1106 Alston Ave Ste 175
Ft Worth, TX 761044644
Phone: (817) 289-2002
Fax: (817) 289-2010
Type: Location
3550 Parkwood Blvd Ste C-302
Frisco, TX 750341903
Phone: (214) 618-3100
Fax: (214) 618-8508
Type: Location
831 Eureka St
Weatherford, TX 760865807
Phone: (817) 599-8995
Fax: (817) 599-6795
Type: Location
6930 Harris Pkwy Ste 110
Ft Worth, TX 761324268
Phone: (817) 405-6555
Fax: (817) 484-0149
Type: Location
350 Matlock Rd Ste 100
Mansfield, TX 760636888
Phone: (817) 592-2133
Fax: (817) 592-2134
Type: Location
221 WEST TRAVIS STREET
SHERMAN, TX 75092
Phone: (903) 771-3030
Fax: (903) 581-4050
Type: Location
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: 2024-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1018 days ago).
Enrollment records
13
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050110000398 | O | Clinic/Group Practice | TX | TBD |
| O20070822001450 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2026-10-31 |
| O20140627000914 | O | Independent Diagnostic Testing Facility (Idtf) | TX | TBD |
| O20140701000503 | O | Independent Diagnostic Testing Facility (Idtf) | TX | TBD |
| O20150302001684 | O | Independent Diagnostic Testing Facility (Idtf) | TX | TBD |
| O20160606001205 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2024-02-29 |
| O20161219000567 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2023-12-31 |
| O20180730000277 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2023-08-31 |
| O20200128002097 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2025-11-30 |
| O20200717002699 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2026-01-31 |
| O20210427002562 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2026-08-31 |
| O20210802000037 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2026-09-30 |
| O20241211000074 | O | Independent Diagnostic Testing Facility (Idtf) | TX | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 424,300 | 2,614 | $0 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 264,139 | 2,538 | $0 |
| 72148 | Mri scan of lower spinal canal without contrast | 2,043 | 2,001 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 1,486 | 11 | $0 |
| 71046 | X-ray of chest, 2 views | 1,465 | 1,353 | $0 |
Insurance plans in this area (ZIP 76180)
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