Eric William Pepin, MD PHD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

S5731 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2294

Phone

(817) 321-0404

NPI assigned

Mar 30, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Diagnostic Radiology

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Radiology Associates of North Texas PAGroup PAC ID 7911897301, 340 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• JPS Health Network Hospital, Fort Worth, TX, CCN 450039
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
• Texas Health Harris Methodist Hospital Southwest F Hospital, Fort Worth, TX, CCN 450779
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epepin110573@direct.phhs.org

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.

• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment Care Compare group NPD
• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • McKinney, TX
  • NPI 1215359401

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1649753716

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Irving, TX
  • NPI 1659628659

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Cleburne, TX
  • NPI 1679994313

  Diagnostic Radiology

  NPD
• Health Imaging Partners LLC

  • Physiological Laboratory
  • Keller, TX
  • NPI 1861358061

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Southlake, TX
  • NPI 1023439767

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Plano, TX
  • NPI 1033492483

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Mansfield, TX
  • NPI 1093045072

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1104109552

  Diagnostic Radiology

  NPD
• Health Imaging Partners, LLC

  • Physiological Laboratory
  • Fort Worth, TX
  • NPI 1184356685

  Diagnostic Radiology

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Ark-la-Tex

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Northwest Texas Healthcare System Inc

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1467442418
  Care Compare affiliation
• Tarrant County Hospital District

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1992753222
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Southwest Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1417980202
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1891180634",
    "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": "761043194",
            "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": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-648-7759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPIN",
        "first_name": "ERIC",
        "middle_name": "WILLIAM",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME139072",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S5731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Penrose, COTA
• Heather Penry, MAC, LPC
• Keith Pensom, DO
• Shanelle Laniece Peoples-Lambert
• Desiree Peoples
• Annalisa Peppard, MS, CCC-SLP
• Kraig Robert Pepper, DO PA
• Percept Counseling, LLC
• Elizabeth A Perchard, FNP-BC, NP-C
• Oscar Perea

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.