Active NPI
Peter J Prokell, MD
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- K5382
- Practice address
- 815 Pennsylvania Ave
Fort Worth, TX 76104-2224 - Phone
- (817) 321-0312
- Fax
- (817) 317-7033
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | K5382 | TX | Primary |
| Body Imaging Physician | 2085B0100X | K5382 | TX | |
| Diagnostic Ultrasound Physician | 2085U0001X | K5382 | TX | |
| Neuroradiology Physician | 2085N0700X | K5382 | TX |
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) 321-0312
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044833404 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
Aledo, TX 76008
Phone (817) 594-1560
11801 S Fwy
Burleson, TX 76028-7021
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
2300 Lone Star Rd
Mansfield, TX 76063-8744
Phone (817) 321-0404
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (817) 321-0404
2700 E Broad St
Mansfield, TX 76063-5899
Phone (817) 321-0937
5425 W Spring Creek Pkwy
110 Village Imaging Center
Plano, TX 75024-4236
Phone (817) 321-0937
800 W Magnolia Ave
Fort Worth, TX 76104-4611
Hospital & facility affiliations
- Baylor Scott and White Surgical Hospital Fortworth
- Medical City Weatherford
- Texas Health Harris Methodist Fort Worth
- Methodist Mansfield Medical Center
- Baylor Scott and White All Saints Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5382 | TX | MD | Diagnostic Ultrasound Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| North Star NPT LP | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Body Imaging | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ft Worth Diagnostic Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
| North Star Plano Parkway, LP | Past | Accepting new patients | |
| Clinical Care in Radiology | Past | Accepting new patients |
Locations
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
1320 S University Dr
Ste 500
Fort Worth, TX 76107
Phone (817) 321-0391
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
6101 W Plano Pkwy
Ste 150
Plano, TX 75093
Phone (469) 326-8623
Interoperability endpoints
- pprokell@direct.uspi.com
Organizations & group practices 28
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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Body Imaging
-
dba North Star Diagnostic Imaging
- Radiology Clinic/Center
- Plano, TX
- NPI 1699387647
-
dba Envision Imaging of McKinney
- Physiological Laboratory
- McKinney, TX
- NPI 1215359401
Diagnostic Radiology
-
dba Envision Imaging of Allen
- Physiological Laboratory
- Allen, TX
- NPI 1265762470
Diagnostic Radiology
-
dba Envision Imaging of Denton
- Physiological Laboratory
- Denton, TX
- NPI 1417414822
Diagnostic Radiology
-
dba Envision Imaging at Bryant Irvin
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
dba Envision Imaging of Las Colinas
- Physiological Laboratory
- Irving, TX
- NPI 1659628659
Diagnostic Radiology
-
dba Envision Imaging Keller Parkway
- Physiological Laboratory
- Keller, TX
- NPI 1861358061
Diagnostic Radiology
-
dba Envision Imaging Flower Mound
- Physiological Laboratory
- Flower Mound, TX
- NPI 1942081153
Diagnostic Radiology
-
dba Dba Envision Imaging at South Lake
- Physiological Laboratory
- Southlake, TX
- NPI 1023439767
Diagnostic Radiology
-
dba Envision Imaging at Hunters Row
- Physiological Laboratory
- Mansfield, TX
- NPI 1093045072
Diagnostic Radiology
-
dba Envision Imaging of Hulen
- Physiological Laboratory
- Fort Worth, TX
- NPI 1104109552
Diagnostic Radiology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
dba Baylor Surgical Hospital at Fort Worth Outpatient Center
- Special Hospital
- Fort Worth, TX
- NPI 1568883775
-
dba Baylor Scott & White Surgical Hospital - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1871599183
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
dba Medical City Weatherford
- General Acute Care Hospital
- Weatherford, TX
- NPI 1417471467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1962464958",
"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": "817-321-0312",
"fax_number": "817-317-7033"
},
{
"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": "817-321-0312",
"fax_number": "817-317-7033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROKELL",
"first_name": "PETER",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "K5382",
"primary": true
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "K5382",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": "K5382",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "K5382",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044833404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
- Progressive Home Care Fort Worth Inc.
- Progressive Pathways Psychiatry PLLC
- Progressive Psychiatry, P.a. (Mindful)
- Teresa Proietti, DO
- Project-44
- Promexsa Industries, LLC (Pro Health Injury and Rehab Center of Texas, LLC)
- Pronto Care Medical Associates PC
- Prosmiles Dental of North Fort Worth PLLC (Prosmiles Dental & Orthodontics)
- Prosper Living Solution LLC
- Prosper Psychiatry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.