Individual provider Active NPI

Chenelle Joy Slepicka, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1942707955
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
BP20069241 Issued in TX
Practice address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone
(214) 590-8000
NPI assigned
Apr 7, 2018
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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 BP20069241 TX Primary

Addresses

Primary practice location

5200 Harry Hines Blvd
Dallas, TX 75235-7709

Mailing address

2293 Hawes Ave Apt 1404
Dallas, TX 75235-4644
Phone (318) 458-4924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230714000134 TX Practitioner - Diagnostic Radiology 8921352220 Reassigns benefits to 1 organization
I20240905004149 UT Practitioner - Diagnostic Radiology 8921352220 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Green River Radiology PCGroup PAC ID 5294123063, 23 clinicians
Tooele Valley Imaging LLCGroup PAC ID 2466624630, 24 clinicians
Utah Imaging Associates IncGroup PAC ID 1355394537, 45 clinicians
Wasatch Imaging LLCGroup PAC ID 7012949522, 16 clinicians

Practice addresses (Care Compare)

12842 S 3600
Suite 100
Riverton, UT 84065-6853
Phone (385) 253-4586

2356 N 400
Suite 103
Tooele, UT 84074-3409
Phone (435) 882-1674

6243 S Redwood Rd
Suite 130
Taylorsville, UT 84123-6408
Phone (801) 869-5630

630 Medical Dr
Bountiful, UT 84010-4908
Phone (801) 299-2220

729 King St
Suite 100
Layton, UT 84041-4681
Phone (801) 563-0333

9844 S 1300
Suite 175
Sandy, UT 84094-4688
Phone (801) 576-1290

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.86

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20069241TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 1, 2023 Accepting new patients
Tanner Memorial Clinic Current Accepting new patients
Green River Radiology, P.C. Diagnostic Radiology CurrentSince Sep 14, 2024 Accepting new patients
Tanner Memorial Clinic CurrentSince Feb 12, 2025 Accepting new patients
Wasatch Imaging LLC CurrentSince Feb 1, 2025 Accepting new patients
Tooele Valley Imaging, LLC CurrentSince Feb 1, 2025 Accepting new patients
Tanner Memorial Clinic CurrentSince Feb 12, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Perspective Counseling Services LLC PastSince Dec 1, 2025 Accepting new patients

Locations

10057 County Road 472
Anna, TX 75409

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

425 S 100 W
Layton, UT 84041
Phone (801) 682-8708

2310 N 400 E
Ste F
Logan, UT 84341
Phone (435) 258-9598

12842 S 3600 W
Ste 100
Riverton, UT 84065
Phone (385) 253-4586

9844 S 1300 E
Ste 175
Sandy, UT 84094
Phone (801) 576-1290

2356 N 400 E
Ste 103
Tooele, UT 84074
Phone (435) 882-1674

Interoperability endpoints

  • Direct secure messaging: cslepicka47445@direct.phhs.org

Organizations & group practices 11

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.

Hospital & facility affiliations 6

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": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1942707955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2293 HAWES AVE APT 1404",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354644",
            "telephone_number": "318-458-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARRY HINES BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357709",
            "telephone_number": "214-590-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLEPICKA",
        "first_name": "CHENELLE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-07",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP20069241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.