Individual provider Active NPI

Soumya Vempalle, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1134514896
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T3008 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
Mar 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X T3008 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3194
Phone (817) 321-0404

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
I20211220002762 TX Practitioner - Diagnostic Radiology 9032500392 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RFC Radiology Associates LLCGroup PAC ID 8022141894, 33 clinicians

Practice addresses (Care Compare)

900 E Expressway
Suite 83
Mission, TX 78572-5756
Phone (956) 271-1200

Hospital & facility affiliations

  • Connally Memorial Medical Center Hospital, Floresville, TX, CCN 450108
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Permian Regional Medical Center Andrews County Ho Hospital, Andrews, TX, CCN 450144
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369

Merit-based Incentive Payment System (MIPS)

Final score
77.07 of 100Reported as group
Quality
73.06
Improvement activities
40
Cost
69.92

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

Merit-based Incentive Payment System (MIPS)

Final score
85.4 of 100Reported as group
Quality
72.78
Promoting interoperability
98
Improvement activities
40
Cost
76.77

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
T3008TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince Nov 17, 2025 Accepting new patients
RFC Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Cherokee Nation Current Accepting new patients
The University of Texas Rio Grande Valley Current Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Jan 10, 2022 Accepting new patients
Cherokee Nation CurrentSince Sep 12, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jul 25, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Mar 18, 2023 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 25, 2023 Accepting new patients
Cherokee Nation CurrentSince Sep 12, 2022 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 3, 2024 Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Laguna Healthcare Corporation CurrentSince Sep 25, 2023 Accepting new patients
Choctaw Nation of Oklahoma Current Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jul 3, 2024 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Jul 25, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jan 10, 2022 Accepting new patients
University of Texas Rio Grande Valley CurrentSince Nov 17, 2025 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Imagecare Radiology PLLC Diagnostic Radiology PastSince Jan 14, 2024 Accepting new patients
Pawnee IHS Pharmacy PastSince Sep 21, 2025 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations (25 of 30)

1585 W Liberty Rd
Atoka, OK 74525
Phone (580) 889-1981

1300 E Martin Luther King Dr
Broken Bow, OK 74728
Phone (580) 208-2204

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

410 N M St
Hugo, OK 74743
Phone (580) 326-7561

902 E Lincoln Rd
Idabel, OK 74745
Phone (580) 286-2600

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1127 S George Nigh Expy
McAlester, OK 74501
Phone (800) 349-7026

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

2204 E Main St
Stigler, OK 74462
Phone (918) 967-9200

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

Dept 1467
Tulsa, OK 74182

Dept 2269
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

4500 S Garnett Rd
Ste 112
Tulsa, OK 74146
Phone (972) 665-8498

Dept 1038
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

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

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

Organizations & group practices 26

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 26

Hospital & facility affiliations 9

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": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1134514896",
    "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": "761043194",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEMPALLE",
        "first_name": "SOUMYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-31",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T3008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.