Individual provider Active NPI

Peter J Prokell, MD

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1962464958
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K5382 Issued in TX
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

Updated by the provider on Aug 15, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
044833404MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040202000810 TX Practitioner - Diagnostic Radiology 4385547652 Reassigns benefits to 2 organizations

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

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K5382TXMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 1, 2013 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jan 1, 2010 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Feb 20, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
North Star NPT LP CurrentSince Oct 7, 2025 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 18, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 17, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Radiology Associates of North Texas PA Body Imaging CurrentSince Jan 1, 2010 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 1, 2017 Accepting new patients
Ft Worth Diagnostic Radiology PA Diagnostic Radiology PastSince Sep 17, 2008 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

  • Direct secure messaging: 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.

View all 28

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": "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

Sources for this page

Verify at the official NPI Registry.