Individual provider Active NPI

Shelby Ryan Fierke, M.D.

  • Pediatric Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1790995207
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
P1072 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0387
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 096808 OH
Pediatric Radiology Physician 2085P0229X P1072 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) 321-0387

Other identifiers 1

IdentifierTypeStateIssuer
297814001MedicaidTX

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
I20120619000230 TX Practitioner - Diagnostic Radiology 8820269640 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

17980 Dallas Pkwy
Suite 200
Dallas, TX 75287-6817
Phone (817) 321-0937

800 W Magnolia Ave
Fort Worth, TX 76104-4611

801 7TH Ave
Fort Worth, TX 76104-2733
Phone (817) 321-0937

Hospital & facility affiliations

  • Cook Childrens Medical Center Hospital, Fort Worth, TX, CCN 453300
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

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
096808OHMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC CurrentSince Mar 12, 2026 Accepting new patients
Radiology Associates of North Texas PA Pediatric Radiology CurrentSince Jul 1, 2012 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jan 1, 2014 Accepting new patients
Methodist-Cdi CurrentSince Nov 1, 2020 Accepting new patients
Health Imaging Partners LLC CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jan 1, 2014 Accepting new patients
Methodist-Cdi CurrentSince Nov 1, 2020 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners LLC CurrentSince Feb 8, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jan 1, 2014 Accepting new patients
Methodist-Cdi Current Accepting new patients
Health Imaging Partners, LLC CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Radiology Associates of North Texas PA Pediatric Radiology CurrentSince Jul 1, 2012 Accepting new patients
Health Imaging Partners LLC CurrentSince Feb 23, 2017 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Mar 2, 2018 Accepting new patients
Health Imaging Partners LLC CurrentSince Nov 10, 2016 Accepting new patients
Health Imaging Partners LLC CurrentSince Jun 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 14, 2024 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Jan 1, 2016 Accepting new patients
Health Imaging Partners, LLC CurrentSince Feb 8, 2023 Accepting new patients
Health Imaging Partners LLC CurrentSince Apr 15, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Feb 8, 2023 Accepting new patients
Health Imaging Partners LLC CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners, LLC CurrentSince Feb 8, 2023 Accepting new patients
Health Imaging Partners LLC CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 14, 2022 Accepting new patients
United Imaging Consultants, LLC CurrentSince Oct 28, 2022 Accepting new patients
Health Imaging Partners LLC CurrentSince Nov 27, 2018 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

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

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

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

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

2975 E Broad St
Ste 101
Mansfield, TX 76063
Phone (214) 420-5445

8080 Independence Pkwy
Ste 105
Plano, TX 75025
Phone (972) 208-1858

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

Interoperability endpoints

  • Direct secure messaging: sfierke33428@cookchildrens.direct-ci.com

Organizations & group practices 36

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 36

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1790995207",
    "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": "FIERKE",
        "first_name": "SHELBY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "096808",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "TX",
            "license": "P1072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297814001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.