Active NPI
Shelby Ryan Fierke, M.D.
- Pediatric Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- P1072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297814001 | Medicaid | TX |
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
Enrollment records 1
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
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
- Medical City Dallas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096808 | OH | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Pediatric Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Methodist-Cdi | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Methodist-Cdi | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Methodist-Cdi | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Radiology Associates of North Texas PA | Pediatric Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| North Star Diagnostic Imaging, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Swdic Imaging Center Partnership, LLP | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| United Imaging Consultants, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Pediatric Radiology
-
- Diagnostic Radiology Physician
- Plano, TX
- NPI 1164829214
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1467787739
-
- Radiology Clinic/Center
- Dallas, TX
- NPI 1033630835
-
- Radiology Clinic/Center
- Plano, TX
- NPI 1295496602
-
- Physiological Laboratory
- Dallas, TX
- NPI 1144550369
-
- Physiological Laboratory
- McKinney, TX
- NPI 1215359401
-
- Physiological Laboratory
- Allen, TX
- NPI 1265762470
-
- Physiological Laboratory
- Denton, TX
- NPI 1417414822
-
- Physiological Laboratory
- Frisco, TX
- NPI 1457681678
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1548590524
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1023180502
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- Ambulatory Surgical Clinic/Center
- Fort Worth, TX
- NPI 1720059785
Hospital
-
- Children's Hospital
- Fort Worth, TX
- NPI 1891765178
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.