Active NPI
Cletus Fuhrmann
- Diagnostic Radiology Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- R4696
- Practice address
- 774 S Beckham Ave
Tyler, TX 75701-1902 - Phone
- (817) 321-0404
- NPI assigned
- Apr 4, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | R4696 | TX | Primary |
Addresses
Primary practice location
774 S Beckham Ave
Tyler, TX 75701-1902
Mailing address
816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404
Other practice location 1
4502 E 41st St
Tulsa, OK 74135-2536
Phone (918) 619-4400
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2016
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
Hospital & facility affiliations
- Christus Mother Frances Hospital
- Ut Health East Texas Tyler Regional Hospital
- Ut Health East Texas Athens Hospital
- Christus Mother Frances Hospital Sulphur Springs
- University of Texas Health Science Center at Tyler
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4696 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
Interoperability endpoints
- cfuhrmann702245@ahs.direct-ci.com
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
-
- Physician Assistant
- Fort Worth, TX
- NPI 1578331393
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, TX
- NPI 1417465824
-
- General Acute Care Hospital
- Sulphur Springs, TX
- NPI 1033568621
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1417941295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1497118665",
"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": "817-321-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011902",
"telephone_number": "817-321-0404"
}
],
"practiceLocations": [
{
"address_1": "4502 E 41st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741352536",
"country_code": "US",
"telephone_number": "918-619-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUHRMANN",
"first_name": "CLETUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-04",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"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": "R4696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.