Individual provider Active NPI

Edward F Fogarty III, MD

  • Diagnostic Radiology Physician
  • Ogallala, NE
National Provider Identifier
1902826340
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9435 Issued in ND
Practice address
26 Makochmni
Ogallala, NE 69153-5801
Phone
(701) 595-1868
Fax
(833) 228-6889
NPI assigned
Jul 20, 2006
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9435 ND Primary

Addresses

Primary practice location

26 Makochmni
Ogallala, NE 69153-5801

Mailing address

17310 Wright St Ste 103
Omaha, NE 68130-2405
Phone (833) 228-6889

Other practice location 1

1 Burdick Expy W
Minot, ND 58701-4406
Phone (701) 857-5000

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 857-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX, NE, TN, OH5 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
I20031212000714 ND Practitioner - Diagnostic Radiology 7012814643 Reassigns benefits to 8 organizations
I20051208000611 TX Practitioner - Diagnostic Radiology 7012814643 Reassigns benefits to 1 organization
I20180815003752 NE Practitioner - Diagnostic Radiology 7012814643 Reassigns benefits to 4 organizations
I20211008002261 TN Practitioner - Diagnostic Radiology 7012814643 Reassigns benefits to 1 organization
I20220927002749 OH Practitioner - Diagnostic Radiology 7012814643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

601 W Leota St
Great Plains Health
North Platte, NE 69101-6525
Phone (308) 568-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.03 of 100Reported as group
Quality
96.51
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.36 of 100Reported as apm
Quality
90.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.84 of 100Reported as group
Quality
95
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.05 of 100Reported as group
Quality
60.57
Promoting interoperability
98
Improvement activities
40
Cost
77.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Tallahassee PA Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince Jan 23, 2024 Accepting new patients
The Metrohealth System Diagnostic Radiology CurrentSince Oct 29, 2025 Accepting new patients
St Alexius Medical Center CurrentSince Jul 13, 2019 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
NRHS Radiology Associates Diagnostic Radiology CurrentSince Mar 11, 2021 Accepting new patients
North Platte Nebraska Hospital Corporation Diagnostic Radiology CurrentSince Sep 9, 2024 Accepting new patients
St. Alexius Medical Center CurrentSince Jul 13, 2019 Accepting new patients
Associated Radiologists, LTD. Diagnostic Radiology CurrentSince Oct 12, 2021 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Diagnostic Radiology PC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Baptist Physician Network CurrentSince Sep 1, 2021 Accepting new patients
Tallahassee Diag Imaging Ctr LTD Diagnostic Radiology CurrentSince Apr 2, 2021 Accepting new patients
The Metrohealth System Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Southeast Radiology Partners LTD Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
The Metrohealth System CurrentSince Oct 29, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

2527 Cranberry Hwy
Wareham, MA 02571
Phone (508) 295-5556

10 Little Brook Rd
West Wareham, MA 02576

900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300

3610 Richmond Cir
Ste 100
Grand Island, NE 68803
Phone (308) 382-6856

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

13616 California St
Ste 100
Omaha, NE 68154
Phone (402) 496-5517

17310 Wright St
Ste 103
Omaha, NE 68130
Phone (303) 590-9765

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

3070 College St
Ste 120
Beaumont, TX 77701
Phone (409) 835-2300

3080 College St
Beaumont, TX 77701
Phone (409) 212-5000

3555 Stagg Dr
Beaumont, TX 77701
Phone (409) 212-5922

Interoperability endpoints

  • Direct secure messaging: efogarty245755@direct.nebraskamed.com
  • Direct secure messaging: efogarty324716@direct.metrohealth.org
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 20

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1902826340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17310 WRIGHT ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681302405",
            "telephone_number": "833-228-6889",
            "fax_number": "877-853-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 MAKOCHMNI",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691535801",
            "telephone_number": "701-595-1868",
            "fax_number": "833-228-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Burdick Expy W",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014406",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "EDWARD",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "9435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.