Individual provider Active NPI

Daniel R. Eickenhorst, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1629397245
Registry record updated Jul 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q0250 Issued in TX
Practice address
816 W Cannon St
Fort Worth, TX 76104-3146
Phone
(817) 321-0937
Fax
(469) 522-6889
NPI assigned
May 21, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101258011 VA
Diagnostic Radiology Physician 2085R0202X Q0250 TX Primary

Addresses

Primary practice location

816 W Cannon St
Fort Worth, TX 76104-3146

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150113001807 TX Practitioner - Diagnostic Radiology 1052635489 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 321-0404

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 321-0937

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 321-0404

2700 E Broad St
Mansfield, TX 76063-5899
Phone (817) 321-0937

5425 W Spring Creek Pkwy
110 Village Imaging Center
Plano, TX 75024-4236
Phone (817) 321-0937

600 N Union Ave
Christus Santa Rosa Hospital New BR
New Braunfels, TX 78130-4194
Phone (817) 321-0404

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 321-0937

800 W Magnolia Ave
Fort Worth, TX 76104-4611

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (817) 321-0093

Hospital & facility affiliations

  • Baylor Scott and White All Saints Medical Center Hospital, Fort Worth, TX, CCN 450137
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Baylor Scott & White Heart & Vascular Hospital - Dallas Hospital, Dallas, TX, CCN 450851

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

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
Q0250TXMDDiagnostic Radiology Physician
0101258011VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 10, 2016 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Apr 1, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 23, 2017 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 3, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Sep 3, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

10057 County Road 472
Anna, TX 75409

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

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

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

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

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 26

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 26

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": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1629397245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0937",
            "fax_number": "469-522-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EICKENHORST",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-21",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101258011",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q0250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.