Manoj A Ketkar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

N9884 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Phone

(817) 321-0387

NPI assigned

May 23, 2007

Last updated

Jun 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Diagnostic Radiology

Education

Other, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• JPS Health Network Hospital, Fort Worth, TX, CCN 450039

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759
  Medicare reassignment NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Dallas

  • Physiological Laboratory
  • Dallas, TX
  • NPI 1144550369

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of McKinney

  • Physiological Laboratory
  • McKinney, TX
  • NPI 1215359401

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Allen

  • Physiological Laboratory
  • Allen, TX
  • NPI 1265762470

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Denton

  • Physiological Laboratory
  • Denton, TX
  • NPI 1417414822

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Frisco

  • Physiological Laboratory
  • Frisco, TX
  • NPI 1457681678

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of North Fort Worth

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1548590524

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging at Bryant Irvin

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1649753716

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Las Colinas

  • Physiological Laboratory
  • Irving, TX
  • NPI 1659628659

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging of Cleburne

  • Physiological Laboratory
  • Cleburne, TX
  • NPI 1679994313

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  dba Envision Imaging Keller Parkway

  • Physiological Laboratory
  • Keller, TX
  • NPI 1861358061

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tarrant County Hospital District

  dba JPS Health Network

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370563200000",
    "number": "1720298219",
    "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": "817-321-0387"
        },
        {
            "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": "817-321-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETKAR",
        "first_name": "MANOJ",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "200896",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N9884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Rae Keshvani, PA-C
• Ruth Marie Kested, PA
• Oliver Lee Kesterson III, M.D.
• Tracey Murrell Kesterson, RN
• Ashley Ketchum, LCSW
• Kassidy Ketron, LMSW
• Lauren Kendall Kettenhofen, DC
• Megan Kevil, DO
• Kevin D. Rhodes, DPM
• Key Dermatology PLLC

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.

Verify at the official NPI Registry.