North Texas Digital Imaging – Radiology Clinic/Center, NPI 1558483776

North Texas Digital Imaging is a healthcare provider. based in Mesquite, Texas. specializing in Radiology Clinic/Center. The organization holds a License No. R31261 (TX). The NPI Number for North Texas Digital Imaging is 1558483776

Main info

Organization
Name
North Texas Digital Imaging
NPI
1558483776
Phone
(972) 681-4000
Address
2698 N GALLOWAY AVE
Authorized Official
MR. MINU MAMMEN MATHEW DIRECTOR R, MR, ARRT
Enumeration Date
6 April 2007
Last Update Date
3 July 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for North Texas Digital Imaging

  • 2698 N GALLOWAY AVE

    MESQUITE, TX 751506383

    Phone: (972) 681-4000

    Fax: (972) 681-0881

    Mailing address matches the actual address.

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: 2012-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
O20120906000850OIndependent Diagnostic Testing Facility (Idtf)TXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75150)

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Reviews

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Frequently asked questions

Is North Texas Digital Imaging listed with a National Provider Identifier?
Yes — North Texas Digital Imaging has NPI 1558483776 on file in the registry.
Is North Texas Digital Imaging shown as active in public data?
Registry records indicate North Texas Digital Imaging maintains an active NPI.
What clinical focus is listed for North Texas Digital Imaging?
At a glance, North Texas Digital Imaging is tied to Radiology Clinic/Center. Clinical services aligned with this taxonomy classification.
Is North Texas Digital Imaging located near Mesquite?
North Texas Digital Imaging currently maps to Mesquite, Texas in this extract.
When was this NPI issued?
Enumeration for North Texas Digital Imaging is noted as April 6, 2007 where the registry provides it.

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