Provider profile
IndividualIvan Manuel Dequesada
Radiology in Fort Worth, TX. NPI 1780902593, listed in the CMS NPI Registry since 05/04/2010. Bills Medicare.
NPI 1780902593Specialty RadiologyEnumerated 05/04/2010
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Registry and Medicare facts
- Practice location
- 815 Pennsylvania Ave, Fort Worth, TX 76104 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 05/04/2010 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 2,674 Part B CMS Medicare 2024
In the full profile
Locked- 108 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in TX by patient mix and volume
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