Benjamin Merrick Crandall, DO

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

L4896 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Phone

(817) 321-0937

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

University of North Texas HSC, College of Osteopathic Med, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
• Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975

  Vascular & Interventional Radiology

  Medicare reassignment Care Compare group NPD
• Methodist-Cdi

  • Diagnostic Radiology Physician
  • Plano, TX
  • NPI 1164829214
  Medicare reassignment NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739
  Medicare reassignment NPD
• North Star MRI LP

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701
  Medicare reassignment NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment NPD
• North Star NPT LP

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647
  Medicare reassignment NPD
• North Star CN, LP

  • Radiology Clinic/Center
  • Carrollton, TX
  • NPI 1013305945
  Medicare reassignment
• North Star FP, LP

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835
  Medicare reassignment
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Center for Molecular Imaging Limited Partnership

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1568468676
  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1144550369
  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • McKinney, TX
  • NPI 1215359401
  NPD

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

• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1023180502
  Care Compare affiliation
• Columbia Hospital at Medical City Dallas Subsidiary LP

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1689628984
  Care Compare affiliation
• Texas Health Presbyterian Hospital Dallas

  • General Acute Care Hospital
  • Dallas, TX
  • NPI 1396779948
  Care Compare affiliation

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1255306312",
    "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": "817-321-0937"
        },
        {
            "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": "817-321-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "BENJAMIN",
        "middle_name": "MERRICK",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "L4896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Craig, LPC
• Lynellen C Craig, RN
• Susan Craig, FAMILY NURSE PRACTIT
• Joe Howard Crain, D.D.S., M.S.
• Crandall City Market Inc
• Pege R Crane, CPNP
• Cranefaulkner LLC
• Jamie Cranfill
• Katy Cranfill
• Cranial Technologies Inc.

• Vascular & Interventional Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Vascular & Interventional Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.