Active NPI
Shawn R Fitzsimmons, MD
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- V5072
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2294 - Phone
- (817) 321-0404
- NPI assigned
- May 7, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 60872 | TN | |
| Diagnostic Radiology Physician | 2085R0202X | V5072 | TX | Primary |
Addresses
Primary practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2294
Mailing address
1320 S University Dr Ste 500
Fort Worth, TX 76107-5732
Phone (817) 321-0404
Other practice location 1
28 White Bridge Pike Ste 111
Nashville, TN 37205-1466
Phone (615) 356-3999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX, MS, LA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Brentwood, TN 37027
Phone (917) 363-4665
10618 Deerwood Park Blvd
Suite 4
Jacksonville, FL 32256-8198
Phone (904) 453-8995
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525
310 W 41St St
Miami Beach, FL 33140-3603
Phone (305) 532-7460
3111 N University Dr
Suite 115
Coral Springs, FL 33065-5049
Phone (954) 580-2780
4515 Wiles Rd
Suite 101
Coconut Creek, FL 33073-3414
Phone (954) 686-2559
513 Elaine Ave
Nashville, TN 37209-1879
Phone (409) 347-7612
7180 N University Dr
Tamarac, FL 33321-2916
Phone (954) 580-2780
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
9050 Pines Blvd
Suite 170
Pembroke Pines, FL 33024-6400
Phone (954) 431-7627
Hospital & facility affiliations
- Methodist Dallas Medical Center
- Methodist Charlton Medical Center
- Methodist Midlothian Medical Center
- Medical City Fort Worth
- Baylor Scott & White Medical Center Grapevine
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.35 of 100
- Quality
- 72.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.41 of 100
- Quality
- 91.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V5072 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nol, LLC | Single Specialty | Current | Accepting new patients |
| Wisconsin Radiology Specialists, S C | Single Specialty | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Single Specialty | Current | Accepting new patients |
| Middle Tennessee Imaging, LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| QMG, LLC | Single Specialty | Current | Accepting new patients |
| Impression Imaging LLC | Single Specialty | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Single Specialty | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Single Specialty | Current | Accepting new patients |
| Adi Radiology PC | Single Specialty | Current | Accepting new patients |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Precision Imaging St. Augustine, LLC | Single Specialty | Current | Accepting new patients |
| Crawford Andrews & Davis PTR | Single Specialty | Current | Accepting new patients |
| Ochsner Clinic LLC | Single Specialty | Current | Accepting new patients |
| Clarksville Imaging Center LLC | Single Specialty | Current | Accepting new patients |
| Middle Tennessee Imaging, LLC | Current | Accepting new patients | |
| Middle Tennessee Imaging LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| K. Brian Walton, MD, PLC | Single Specialty | Past | Accepting new patients |
| Clinical Care in Radiology | Single Specialty | Past | Accepting new patients |
Locations (25 of 35)
20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525
210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449
9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627
7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780
1978 Industrial Blvd
Houma, LA 70363
Phone (985) 873-1814
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841
1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
789 Old Hickory Blvd
Brentwood, TN 37027
Phone (615) 555-6870
2320 Wilma Rudolph Blvd
Clarksville, TN 37040
Phone (931) 645-1564
3310 Aspen Grove Dr
Ste 101
Franklin, TN 37067
Phone (615) 771-0171
110 Saint Blaise Rd
Ste 102
Gallatin, TN 37066
Phone (615) 467-4640
3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018
262 New Shackle Island Rd
Ste 206
Hendersonville, TN 37075
Phone (615) 986-6050
5045 Old Hickory Blvd
Ste 100
Hermitage, TN 37076
Phone (615) 884-7674
1210 Briarville Rd
Bldg F602
Madison, TN 37115
Phone (615) 773-7237
5002 Crossings Cir
Ste 140
Mt Juliet, TN 37122
Phone (615) 773-7237
Interoperability endpoints
- sfitzsimmons568197@christushealth.direct-ci.net
Organizations & group practices 23
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
- Beaumont, TX
- NPI 1952325573
Single Specialty, TN
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Single Specialty, TN
-
- Diagnostic Radiology Physician
- Clarksville, TN
- NPI 1043285539
Single Specialty
-
- Internal Medicine Physician
- Bay Saint Louis, MS
- NPI 1538674239
Single Specialty
-
- Diagnostic Radiology Physician
- Dickson, TN
- NPI 1770667289
-
- Diagnostic Radiology Physician
- Mount Pleasant, WI
- NPI 1952951154
TN
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grapevine, TX
- NPI 1073511762
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
- General Acute Care Hospital
- Midlothian, TX
- NPI 1487271375
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1811307259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 S UNIVERSITY DR STE 500",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075732",
"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": "761042294",
"telephone_number": "817-321-0404"
}
],
"practiceLocations": [
{
"address_1": "28 White Bridge Pike Ste 111",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372051466",
"country_code": "US",
"telephone_number": "615-356-3999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "SHAWN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-07",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "TN",
"license": "60872",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "V5072",
"primary": true
}
],
"identifiers": [],
"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 Apr 14, 2025; 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.