Active NPI
Douglas M. Tilton, M.D.
- Diagnostic Radiology Physician
- Ft. Hood, TX
National Provider Identifier
1487844296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01055369A
- Practice address
- 36000 Darnall Loop, Box 48
Radiology Department
Ft. Hood, TX 76544 - Phone
- (254) 288-8300
- Fax
- (254) 288-8924
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 01055369A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 01055369A | IN | Primary |
Addresses
Primary practice location
36000 Darnall Loop, Box 48
Radiology Department
Ft. Hood, TX 76544
Mailing address
36000 Darnall Loop, Box 48
Radiology Department
Ft. Hood, TX 76544
Phone (254) 288-8300
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180503002141 | TX | Practitioner - Diagnostic Radiology | 5092947333 | Practice locations: Georgetown, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4749 Williams Dr
Suite 333
Georgetown, TX 78633-3711
Phone (512) 698-6746
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01055369A | IN | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile CR Imaging, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Georgetown, TX
- NPI 1104834258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1487844296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP, BOX 48",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "FT. HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8300",
"fax_number": "254-288-8924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36000 DARNALL LOOP, BOX 48",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "FT. HOOD",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-288-8300",
"fax_number": "254-288-8924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILTON",
"first_name": "DOUGLAS",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01055369A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01055369A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ft. Hood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.