PET Imaging of Dallas-Northeast – Radiology Clinic/Center, NPI 1619922184
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PET Imaging of Dallas-Northeast
1250 NORTHWEST HWY STE R
GARLAND, TX 750415842
Phone: (972) 279-5172
Fax: (972) 279-6948
Type: Mailing
Northwest Highway, Garland, Dallas County, Texas, 75041, United States
GARLAND, TX 750415851
Phone: (972) 279-5172
Fax: (972) 279-6948
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: 2024-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
2
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 |
|---|---|---|---|---|
| O20050603000040 | O | Independent Diagnostic Testing Facility (Idtf) | TX | 2023-08-31 |
| O20240624005116 | O | Clinic/Group Practice | DC | 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 |
|---|---|---|---|---|
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 211 | 27 | $0 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 177 | 122 | $0 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 126 | 103 | $0 |
| 78816 | Nuclear medicine study whole body with ct scan | 19 | 12 | $0 |
| 78814 | Nuclear medicine study limited area with ct scan | 13 | 13 | $0 |
Insurance plans in this area (ZIP 75041)
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