NPIMap

Preetam Gongidi, D.O., M.H.S.

Individual provider Active NPI Diagnostic Radiology Physician · Fort Worth, TX

NPI 1902199185 · NPPES record last updated Jun 20, 2025

Key facts

NPI
1902199185
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
R3089 (TX)
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0300
NPI assigned
May 23, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 46

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 46

Hospital & facility affiliations 8

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

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Ochsner Clinic LLC (2,845 clinicians)
Crawford Andrews and Davis PTR (47 clinicians)
Radiology Associates of North Texas PA (340 clinicians)

Practice addresses (Care Compare)

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

2830 Calder St
Beaumont, TX 77702-1809
Phone (409) 892-7171

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Methodist Mansfield Medical Center Hospital · Mansfield, TX · CCN 670023
  • Northwest Texas Hospital Hospital · Amarillo, TX · CCN 450209
  • Cook Childrens Medical Center Hospital · Fort Worth, TX · CCN 453300
  • Christus Mother Frances Hospital Hospital · Tyler, TX · CCN 450102
  • Christus St Michael Health System Hospital · Texarkana, TX · CCN 450801

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100 (group)
Quality
100
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in TX, MS, LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170614002103 TX Practitioner - Diagnostic Radiology 4183992225 Reassigns benefits to 7 organizations
I20250701001067 MS Practitioner - Diagnostic Radiology 4183992225 Reassigns benefits to 1 organization
I20250701002174 LA Practitioner - Diagnostic Radiology 4183992225 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OT016084PAMDPediatric Radiology Physician
345512LAMDDiagnostic Radiology Physician
34798MSMDDiagnostic Radiology Physician
R3089TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Current
since Sep 1, 2017		 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Feb 8, 2023		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Mar 12, 2026		 Accepting new patients
Ochsner Clinic LLC Current
since Apr 29, 2025		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Aug 1, 2017		 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology Current
since Jun 15, 2017		 Accepting new patients
Ochsner Mississippi, LLC Current
since Apr 29, 2025		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Apr 14, 2022		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Feb 8, 2023		 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current
since Nov 1, 2020		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Apr 16, 2018		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Ochsner Mississippi, LLC Current
since Apr 29, 2025		 Accepting new patients
Center for Molecular Imaging Limited Partnership Current
since Jan 1, 2019		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Jan 25, 2023		 Accepting new patients
North Star Diagnostic Imaging, LLC Current
since Mar 2, 2018		 Accepting new patients
Health Imaging Partners, LLC Current
since Mar 14, 2024		 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Health Imaging Partners, LLC Current
since Dec 20, 2024		 Accepting new patients
United Imaging Consultants, LLC Diagnostic Radiology Current
since Oct 28, 2022		 Accepting new patients
Ochsner Clinic LLC Current
since Apr 29, 2025		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Crawford Andrews & Davis PTR Diagnostic Radiology Current
since Apr 1, 2023		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Apr 1, 2018		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Apr 15, 2024		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Mar 1, 2018		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Feb 8, 2023		 Accepting new patients
Health Imaging Partners, LLC Current
since Jul 24, 2024		 Accepting new patients
Swdic Imaging Center Partnership, LLP Current
since Aug 1, 2017		 Accepting new patients
Radiology Associates of North Texas PA Pediatric Radiology Current
since Jun 15, 2017		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Feb 8, 2023		 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology Current
since Apr 1, 2019		 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology Current
since Sep 1, 2017		 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

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

  • Direct secure messaging: pgongidi33339@cookchildrens.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X OT016084 PA
Diagnostic Radiology Physician 2085R0202X 34798 MS
Diagnostic Radiology Physician 2085R0202X 345512 LA
Diagnostic Radiology Physician 2085R0202X R3089 TX Yes

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) 321-0937

Other providers in Fort Worth, TX

All providers in Fort Worth, TX · Diagnostic Radiology Physician in Texas

Sources for this page

Verify at the official NPI Registry.