Individual provider Active NPI

Douglas Edward Hammons, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1477533404
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K8196 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0312
Fax
(817) 317-7033
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X K8196 TX
Neuroradiology Physician 2085N0700X K8196 TX
Nuclear Radiology Physician 2085N0904X K8196 TX
Pediatric Radiology Physician 2085P0229X K8196 TX
Vascular & Interventional Radiology Physician 2085R0204X K8196 TX
Diagnostic Ultrasound Physician 2085U0001X K8196 TX
Diagnostic Radiology Physician 2085R0202X K8196 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0404

Other identifiers 2

IdentifierTypeStateIssuer
125457501MedicaidTX
K8196OtherTXTX PHYSICIANS PERMIT

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
I20040504001388 TX Practitioner - Diagnostic Radiology 9032107453 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 321-0404

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (817) 321-0404

2700 E Broad St
Mansfield, TX 76063-5899
Phone (817) 321-0937

800 W Magnolia Ave
Fort Worth, TX 76104-4611

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309

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
K8196TXMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jul 1, 2000 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
North Star MRI LP CurrentSince Nov 1, 2013 Accepting new patients
North Star MRI of Frisco LP CurrentSince Nov 1, 2013 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 10, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Radiology Associates of North Texas, PA Body Imaging CurrentSince Jul 1, 2000 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
North Star FP, LP CurrentSince Nov 2, 2017 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Nov 1, 2013 Accepting new patients
North Star FM, LP CurrentSince Nov 1, 2013 Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients
Texas Health Care, P.L.L.C. Diagnostic Radiology Past Accepting new patients
Health Imaging Partners, LLC PastSince May 1, 2017 Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

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

8501 Wade Blvd
#220N
Frisco, TX 75034

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

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

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

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

Organizations & group practices 23

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 23

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1477533404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "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": "817-321-0312",
            "fax_number": "817-317-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "K8196",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K8196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125457501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX PHYSICIANS PERMIT",
            "identifier": "K8196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.