Individual provider Active NPI

Stephen Sartin

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1740717495
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
U3005 Issued in TX
Practice address
816 W Cannon St
Fort Worth, TX 76104-3194
Phone
(817) 321-0404
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X BP20064958 TX
Student in an Organized Health Care Education/Training Program 390200000X TX
Diagnostic Radiology Physician 2085R0202X U3005 TX Primary

Addresses

Primary practice location

816 W Cannon St
Fort Worth, TX 76104-3194

Mailing address

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 747-2849

Other practice location 1

1500 S Main St
Ft Worth, TX 76104-4917
Phone (817) 702-1173

Other practice location 2

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 747-2849

Other practice location 3

1400 Pressler St Unit 1476
Houston, TX 77030-3722
Phone (713) 792-8182

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
I20240627003594 TX Practitioner - Diagnostic Radiology 2365790474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

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

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677

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
U3005TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 23, 2024 Accepting new patients
Crawford Andrews & Davis PTR Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 26, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 23, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 31, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 27, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Clinical Care in Radiology Past Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

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

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

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

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

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

Organizations & group practices 15

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 15

Hospital & facility affiliations 8

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1740717495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-2849",
            "fax_number": "409-772-7120"
        },
        {
            "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": "761043194",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Main St",
            "address_purpose": "LOCATION",
            "city": "Ft Worth",
            "state": "TX",
            "postal_code": "761044917",
            "country_code": "US",
            "telephone_number": "817-702-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775555302",
            "country_code": "US",
            "telephone_number": "409-747-2849",
            "fax_number": "409-772-7120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pressler St Unit 1476",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303722",
            "country_code": "US",
            "telephone_number": "713-792-8182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARTIN",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP20064958",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "U3005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.