Individual provider Active NPI

Matthew Paul Fiesta, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1316100084
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N5674 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0300
NPI assigned
Jul 3, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 N5674 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0937

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
I20130703000287 TX Practitioner - Diagnostic Radiology 4082854641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 321-0937

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 321-0937

1622 8TH Ave
Suite 120
Fort Worth, TX 76104-4155
Phone (817) 321-0404

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Hospital & facility affiliations

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 7, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 10, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2013 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2013 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 15, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 23, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
North Star NPT LP CurrentSince Oct 7, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Sep 15, 2025 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 18, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 14, 2024 Accepting new patients
Clinical Care in Radiology Past Accepting new patients
North Star Plano Parkway, LP Past Accepting new patients

Locations

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

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

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

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

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

3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484

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

6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

Interoperability endpoints

  • Direct secure messaging: mfiesta355191@ahs.direct-ci.com

Organizations & group practices 35

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

View all 35

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316100084",
    "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": "817-321-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTA",
        "first_name": "MATTHEW",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N5674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.