Radiology Associates of Tarrant County, PA – Diagnostic Radiology Physician, NPI 1710970975
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Radiology Associates of Tarrant County, PA
1320 S UNIVERSITY DR STE 500
FORT WORTH, TX 761075732
Phone: (817) 321-0404
Fax: (469) 522-6889
Type: Mailing
West Cannon Street, Fort Worth, Tarrant County, Texas, 76101, United States
CREDENTIALING 1710970975
FORT WORTH, TX 761043146
Phone: (817) 321-0404
Fax: (469) 522-6889
Type: Mailing
816, West Cannon Street, Fort Worth, Tarrant County, Texas, 76104, United States
CREDENTIALING 1710970975
FORT WORTH, TX 761043146
Phone: (817) 321-0404
Fax: (469) 522-6889
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: 2025-07-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (738 days ago).
Enrollment records
18
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20171024003343 | O | Clinic/Group Practice | CA | 2024-05-31 |
| O20171025001744 | O | Clinic/Group Practice | CO | 2024-06-30 |
| O20190227000482 | O | Clinic/Group Practice | MA | 2024-10-31 |
| O20190415000482 | O | Clinic/Group Practice | VA | 2024-08-31 |
| O20190418000177 | O | Clinic/Group Practice | FL | 2026-01-31 |
| O20190425000745 | O | Clinic/Group Practice | NC | 2024-09-30 |
| O20210727002002 | O | Clinic/Group Practice | OK | 2026-07-31 |
| O20211018001401 | O | Clinic/Group Practice | MO | 2026-10-31 |
| O20211216002216 | O | Clinic/Group Practice | AR | TBD |
| O20220207002318 | O | Clinic/Group Practice | GA | TBD |
| O20220323000824 | O | Clinic/Group Practice | WA | TBD |
| O20230215003180 | O | Clinic/Group Practice | DC | TBD |
| O20230815003202 | O | Clinic/Group Practice | NH | TBD |
| O20230817003212 | O | Clinic/Group Practice | AL | TBD |
| O20230920000916 | O | Clinic/Group Practice | TN | TBD |
| O20240119003649 | O | Clinic/Group Practice | MI | TBD |
| O20240806003675 | O | Clinic/Group Practice | PA | TBD |
| O20250709001973 | O | Clinic/Group Practice | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76107)
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