Individual provider Active NPI

Jason Wayne Wachsmann, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1740486331
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N5464 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X N5464 TX
Diagnostic Radiology Physician 2085R0202X N5464 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

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
I20130711000321 TX Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 4587804745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

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
N5464TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 13, 2019 Accepting new patients
Preferred Imaging of Grapevine/Colleyville, LLC CurrentSince Oct 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Akumin Imaging Texas LLC CurrentSince Oct 1, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince May 24, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 13, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 13, 2019 Accepting new patients
Preferred Open MRI, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince May 24, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 13, 2019 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Nuclear Radiology CurrentSince Mar 4, 2019 Accepting new patients
Preferred Imaging of Frisco, LLC Diagnostic Radiology CurrentSince Oct 1, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 13, 2019 Accepting new patients
Round Rock Imaging LLC CurrentSince Oct 1, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Center for Molecular Imaging Limited Partnership CurrentSince Feb 1, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Feb 1, 2019 Accepting new patients
Preferred Imaging of McKinney, LLC Diagnostic Radiology CurrentSince Apr 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 10, 2020 Accepting new patients
Preferred Imaging of Plano, LLC CurrentSince Oct 1, 2024 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

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

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

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

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

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

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

Organizations & group practices 25

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 25

Hospital & facility affiliations 7

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1740486331",
    "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": "817-321-0404"
        },
        {
            "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": "817-321-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHSMANN",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "TX",
            "license": "N5464",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N5464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.