Individual provider Active NPI

David R Phelps, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1568416204
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K2173 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0312
Fax
(817) 317-7033
NPI assigned
May 19, 2006
Last updated
Nov 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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 K2173 TX
Vascular & Interventional Radiology Physician 2085R0204X K2173 TX
Neuroradiology Physician 2085N0700X K2173 TX
Diagnostic Ultrasound Physician 2085U0001X K2173 TX
Diagnostic Radiology Physician 2085R0202X K2173 TX Primary
Nuclear Radiology Physician 2085N0904X K2173 TX
Pediatric Radiology Physician 2085P0229X K2173 TX

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 1

IdentifierTypeStateIssuer
125640603MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040503001294 TX Practitioner - Diagnostic Radiology 9931197506 Reassigns benefits to 2 organizations
I20250829003683 MS Practitioner - Diagnostic Radiology 9931197506 Reassigns benefits to 1 organization
I20250915002932 LA Practitioner - Diagnostic Radiology 9931197506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 646-5970

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

2820 Napoleon Ave
New Orleans, LA 70115-6969
Phone (504) 842-5300

2927 Park Plaza LN
Port Arthur, TX 77642-5516
Phone (409) 899-3684

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

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
K2173TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 27, 2025 Accepting new patients
Ochsner Mississippi, LLC Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 18, 2024 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
Crawford Andrews & Davis PTR Diagnostic Radiology CurrentSince Jun 28, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 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 Sep 17, 2020 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 27, 2025 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 27, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 20, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 27, 2025 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 27, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Texas Health Care, P.L.L.C. Diagnostic Radiology Past Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology PastSince Mar 13, 2022 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Texas Health Care, P.L.L.C. Past Accepting new patients

Locations

1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

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

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3650 Laurel St
Beaumont, TX 77707
Phone (409) 838-0346

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

2911 Oak Park Cir
Fort Worth, TX 76109
Phone (817) 207-9600

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

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

2927 Park Plaza Ln
Port Arthur, TX 77642
Phone (409) 883-3744

Interoperability endpoints

  • Direct secure messaging: dphelps@direct.uspi.com

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1568416204",
    "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": "PHELPS",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "TX",
            "license": "K2173",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "K2173",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "K2173",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "TX",
            "license": "K2173",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K2173",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "K2173",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "K2173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125640603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.