Active NPI
Thomas E Callahan III, MD
- Vascular & Interventional Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- M7890
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107619 | Medicaid | MA | |
| AA64569 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| P00602905 | Other | RAILROAD MEDICARE | |
| J28704 | Other | MA | BLUE CROSS BLUE SHIELD |
| 462205 | Other | MA | TUFTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Sierra Nevada Memorial Hospital
- Nor-Lea Hospital District
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Radiology Associates of North Texas, PA | Diagnostic Radiology | Current | Accepting new patients |
| Kau Hospital | Current | Accepting new patients | |
| Methodist-Cdi | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | 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 | Current | Accepting new patients |
| Methodist-Cdi | Diagnostic Radiology | Current | Accepting new patients |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Kau Hospital | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | 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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Diagnostic Radiology, TX
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1861782740
Diagnostic Radiology
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
Hospital
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.