Individual provider Active NPI

Phillip Guy Wortley, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1821256363
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N4850 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X N4850 TX
Diagnostic Radiology Physician 2085R0202X N4850 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) 321-0404

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
I20140701000558 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739304080 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

Dallas, TX 75205
Phone (214) 914-3015

11801 S Fwy
Burleson, TX 76028-7021
Phone (817) 321-0404

11970 N Central Expy
Dallas, TX 75243-3768
Phone (817) 321-0404

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 321-0937

1650 W College St
Grapevine, TX 76051-3565
Phone (817) 321-0404

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

2000 S Palestine St
Athens, TX 75751-5610
Phone (817) 321-0404

2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (817) 321-0404

2700 E Broad St
Mansfield, TX 76063-5899
Phone (817) 321-0937

421 E State Hwy 114
Southlake, TX 76092-3635
Phone (817) 321-0404

5425 W Spring Creek Pkwy
110 Village Imaging Center
Plano, TX 75024-4236
Phone (817) 321-0937

6100 Harris Pkwy
Fort Worth, TX 76132-4101
Phone (817) 321-0937

7777 Forest LN
Dallas, TX 75230-2571
Phone (817) 321-0404

800 W Magnolia Ave
Fort Worth, TX 76104-4611

800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone (817) 321-0093

8200 Walnut Hill Lane
TH Presbyterian Hospital of Dallas
Dallas, TX 75231-4426
Phone (214) 345-6789

Hospital & facility affiliations

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
N4850TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Plano Parkway, LP CurrentSince Jan 25, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
North Star MRI LP CurrentSince Jan 25, 2018 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jan 25, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
North Star MCD, LLC CurrentSince Jan 25, 2018 Accepting new patients
North Star FM, LP CurrentSince Jan 25, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Center for Molecular Imaging Limited Partnership CurrentSince Jan 1, 2019 Accepting new patients
Radiology Associates of North Texas CurrentSince Jul 1, 2014 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
North Star MCD, LLC Current Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Jan 25, 2018 Accepting new patients
North Star MCD, LLC CurrentSince Jan 25, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
North Star NPT LP CurrentSince Oct 7, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2014 Accepting new patients
Swdic Imaging Center Partnership, LLP CurrentSince Nov 13, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

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

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391

8501 Wade Blvd
#220N
Frisco, TX 75034

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

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

1650 W College St
Grapevine, TX 76051
Phone (817) 329-2523

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

6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: pwortley355912@ahs.direct-ci.com

Organizations & group practices 21

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 21

Hospital & facility affiliations 7

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": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1821256363",
    "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": "817-321-0404"
        },
        {
            "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": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "PHILLIP",
        "middle_name": "GUY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "N4850",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N4850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.