Clinical Care in Radiology
NPI 1578331393ActiveOrganization· Physician Assistant· Fort Worth, TX
Physician Assistant in Fort Worth, Texas, registered in NPPES in December 2023, part of Radiology Associates of North Texas PA. The authorized official on file is Rachel Maitland, Credentialing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578331393 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Radiology Associates of North Texas PA |
| NPI issued | Dec 12, 2023 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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