Individual provider Active NPI

Shawn R Fitzsimmons, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1811307259
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
V5072 Issued in TX
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

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200805002427 TN Practitioner - Diagnostic Radiology 7214226216 Reassigns benefits to 8 organizations
I20250318001615 TX Practitioner - Diagnostic Radiology 7214226216 Reassigns benefits to 1 organization
I20250820000252 MS Practitioner - Diagnostic Radiology 7214226216 Reassigns benefits to 1 organization
I20250820000791 LA Practitioner - Diagnostic Radiology 7214226216 Reassigns benefits to 1 organization
I20251031004244 FL Practitioner - Diagnostic Radiology 7214226216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians
QMG, LLCGroup PAC ID 2961590435, 30 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Impression Imaging LLCGroup PAC ID 1759547979, 34 clinicians
Crawford Andrews and Davis PTRGroup PAC ID 6507814084, 47 clinicians

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 Hospital, Dallas, TX, CCN 450051
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723
  • Methodist Midlothian Medical Center Hospital, Midlothian, TX, CCN 670300
  • Medical City Fort Worth Hospital, Fort Worth, TX, CCN 450672
  • Baylor Scott & White Medical Center Grapevine Hospital, Grapevine, TX, CCN 450563

Merit-based Incentive Payment System (MIPS)

Final score
76.35 of 100Reported as group
Quality
72.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.41 of 100Reported as group
Quality
91.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
V5072TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nol, LLC Single Specialty CurrentSince Aug 10, 2020 Accepting new patients
Wisconsin Radiology Specialists, S C Single Specialty CurrentSince Oct 31, 2021 Accepting new patients
Ochsner Mississippi, LLC Single Specialty Current Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 23, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 23, 2025 Accepting new patients
QMG, LLC Single Specialty CurrentSince Jul 20, 2025 Accepting new patients
Impression Imaging LLC Single Specialty CurrentSince Feb 1, 2026 Accepting new patients
Radiology Associates of North Texas PA Single Specialty CurrentSince May 12, 2025 Accepting new patients
Radiology Associates of North Texas PA Single Specialty CurrentSince May 12, 2025 Accepting new patients
Adi Radiology PC Single Specialty CurrentSince Aug 10, 2020 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jun 23, 2025 Accepting new patients
Precision Imaging St. Augustine, LLC Single Specialty CurrentSince Oct 2, 2025 Accepting new patients
Crawford Andrews & Davis PTR Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Ochsner Clinic LLC Single Specialty Current Accepting new patients
Clarksville Imaging Center LLC Single Specialty CurrentSince Aug 10, 2020 Accepting new patients
Middle Tennessee Imaging, LLC CurrentSince Jan 1, 2019 Accepting new patients
Middle Tennessee Imaging LLC CurrentSince Jan 1, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 23, 2025 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

  • Direct secure messaging: 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.

View all 23

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": "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

Verify at the official NPI Registry.