Individual provider Active NPI

Thomas E Callahan III, MD

  • Vascular & Interventional Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1508809138
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
M7890 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Phone
(817) 321-0404
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD-21591 HI
Vascular & Interventional Radiology Physician 2085R0204X M7890 TX Primary
Diagnostic Radiology Physician 2085R0202X M7890 TX

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2294

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3194
Phone (817) 321-0404

Other practice location 1

4005 24th St
Lubbock, TX 79410-1835
Phone (806) 792-2767

Other practice location 2

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223

Other identifiers 5

IdentifierTypeStateIssuer
2107619MedicaidMA
AA64569OtherMAHARVARD PILGRIM HEALTHCAR
P00602905OtherRAILROAD MEDICARE
J28704OtherMABLUE CROSS BLUE SHIELD
462205OtherMATUFTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, HI, CA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20071129000253 TX Practitioner - Diagnostic Radiology 5799721056 Reassigns benefits to 4 organizations
I20150106002557 NM Practitioner - Diagnostic Radiology 5799721056 Reassigns benefits to 2 organizations
I20250612003585 HI Practitioner - Interventional Radiology 5799721056 Reassigns benefits to 2 organizations
I20250723002106 CA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5799721056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Vermont College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nor-Lea Hospital DistrictGroup PAC ID 2466364534, 58 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1600 N Main
Lovington, NM 88260-2813

1600 N Main Ave
Lovington, NM 88260-2813
Phone 57539666115303

1700 Prairie City Rd
Folsom, CA 95630-9594
Phone (916) 351-4800

1730 Prairie City Rd
Suite 120
Folsom, CA 95630-9594
Phone (916) 351-4800

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

515 E Main St
Hobbs, NM 88240-8119
Phone (575) 397-0560

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Kau Hospital CurrentSince May 30, 2025 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Sep 19, 2025 Accepting new patients
Nor-Lea Hospital District CurrentSince Apr 17, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 30, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Kau Hospital Current Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Regents of the Univ of Ca Diagnostic Radiology CurrentSince Jun 30, 2025 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Nor-Lea Hospital District CurrentSince Apr 17, 2025 Accepting new patients
Kau Hospital CurrentSince May 30, 2025 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 30, 2025 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Radiology & Imaging, Inc. Diagnostic Radiology Past Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

10850 White Rock Rd
Rancho Cordova, CA 95670

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

515 E Main St
Hobbs, NM 88240
Phone (575) 397-0560

1600 N Main Ave
Lovington, NM 88260
Phone (575) 396-6611

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

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

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

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

4005 24th St
Lubbock, TX 79410
Phone (806) 795-2767

3525 19th St
Lubbock, TX 79410
Phone (806) 687-8346

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

Organizations & group practices 22

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 22

Hospital & facility affiliations 3

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1508809138",
    "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": "761043194",
            "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": "761042294",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4005 24th St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101835",
            "country_code": "US",
            "telephone_number": "806-792-2767",
            "fax_number": "806-791-6709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072520",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "HI",
            "license": "MD-21591",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "M7890",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M7890",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107619",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "AA64569",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00602905",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J28704",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "462205",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.