Individual provider Active NPI

Eric Weissmann

  • Diagnostic Radiology Physician
  • Tyler, TX
National Provider Identifier
1104141399
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P1029 Issued in TX
Practice address
627 Turtle Creek Dr
Tyler, TX 75701-1832
Phone
(903) 593-2539
Fax
(903) 593-0559
NPI assigned
Mar 31, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X P1029 TX Primary

Addresses

Primary practice location

627 Turtle Creek Dr
Tyler, TX 75701-1832

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

Other identifiers 1

IdentifierTypeStateIssuer
345803603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150519000267 TX Practitioner - Diagnostic Radiology 2466772231 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Methodist-CdiGroup PAC ID 3072836600, 43 clinicians
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

1750 N Hampton Rd
Desoto, TX 75115-2306
Phone (214) 420-5400

2975 E Broad St
Suite 101
Mansfield, TX 76063-9147
Phone (214) 420-5445

4140 E Renner Rd
Suite 100
Richardson, TX 75082-2807
Phone (972) 920-0115

7300 Eldorado Pkwy
Suite 170
McKinney, TX 75070-7895
Phone (972) 920-0150

8080 Independence Pkwy
Suite 105
Plano, TX 75025-4003
Phone (972) 208-1858

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P1029TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2015 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Tyler Radiology Associates PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 15, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 18, 2024 Accepting new patients
Btdi JV, LLP CurrentSince Oct 29, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 29, 2021 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

627 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 597-6372

Interoperability endpoints

  • Direct secure messaging: eweissmann355849@ahs.direct-ci.com

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1104141399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011832",
            "telephone_number": "903-593-2539",
            "fax_number": "903-593-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMANN",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-31",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "345803603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.