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NORTH STAR DIAGNOSTIC IMAGING
NPI 1679834295
Clinic/Center - Radiology in Willow Park, TX

Active since May 30, 2012
110 MARY LOU DR STE 400, WILLOW PARK, TX 76087(972) 649-6460(972) 649-6461 Get Directions Write a Review

NPPES record last updated: February 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 9, 2024, Sep 24, 2020, Apr 12, 2018 (3 updates tracked since 2018).

About North Star Diagnostic Imaging NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH STAR DIAGNOSTIC IMAGING (NPI 1679834295) is a healthcare organization registered as a radiology in Willow Park, Texas and active in the NPI registry since May 2012. The organization lists David J Wright, Manager, as its authorized official.

NPPES Registry Identity

NPI1679834295
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameNORTH STAR MCD, LLC
Location Address110 MARY LOU DR STE 400Willow Park, TX 76087-8767
Mailing Address7600 Windrose Ave Ste G325Plano, TX 75024-0167 · (972) 649-6460 · Fax (972) 649-6461
Phone(972) 649-6460
Fax(972) 649-6461
Organization SubpartNo
Authorized OfficialDavid J WrightManager · (972) 954-8001
Enumeration DateMay 30, 2012
Last NPPES UpdateFebruary 9, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2024
✔ NPI 1679834295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
110 MARY LOU DR STE 400, Willow Park, TX 76087
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Star Diagnostic Imaging

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Star Diagnostic Imaging is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

205

Medicare enrollment records show 205 clinicians reassign Medicare billing to North Star Diagnostic Imaging, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Diagnostic Radiology189
Interventional Radiology7
Orthopedic Surgery5
Nuclear Medicine1
Nurse Practitioner1
Physical Medicine and Rehabilitation1
Podiatry1

Nearest to this location (20)

See all 205
Pauldeep Bahra, M.D.
Interventional Radiology
NPI 1093911166
5901 S HULEN ST
Fort Worth, TX 76132
(817) 767-9901
✔ PECOS✔ Accepts Medicare16 mi
Wesley Chang, MD
Diagnostic Radiology
NPI 1649279928
1101 6TH AVE
Fort Worth, TX 76104
(817) 336-4638
✔ PECOS19 mi
Patrick Barr, M.D.
Nuclear Medicine
NPI 1548269616
816 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0470
✔ PECOS✔ Accepts Medicare19 mi
Preetam Gongidi, D.O., M.H.S.
Diagnostic Radiology
NPI 1902199185
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0300
✔ PECOS✔ Accepts Medicare19 mi
Ethan Tang, MD
Diagnostic Radiology
NPI 1366948721
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Magda Rizer, D.O.
Diagnostic Radiology
NPI 1427482280
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS19 mi
Ali Alian, M.D.
Diagnostic Radiology
NPI 1255759437
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Benson Benjamin, D.O.
Diagnostic Radiology
NPI 1083078836
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Jayant Boolchand, MD
Diagnostic Radiology
NPI 1871823039
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0300
✔ PECOS✔ Accepts Medicare19 mi
Jason Caldwell, M.D.
Diagnostic Radiology
NPI 1760709182
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0937
✔ PECOS✔ Accepts Medicare19 mi
Alan Chen, MD
Diagnostic Radiology
NPI 1679849822
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Keila Garoutte, M.D.
Diagnostic Radiology
NPI 1063411932
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0387
✔ PECOS✔ Accepts Medicare19 mi
Theodore Gupton, M.D.
Interventional Radiology
NPI 1790019347
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
George Hobbs, MD
Diagnostic Radiology
NPI 1801920350
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Mohammad Ibrahim, D.O.
Diagnostic Radiology
NPI 1467985986
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Michael Maiers, M.D.
Diagnostic Radiology
NPI 1528234127
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Gregory Schaiberger, M.D.
Diagnostic Radiology
NPI 1104169432
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Phillip Wortley, MD
Diagnostic Radiology
NPI 1821256363
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0404
✔ PECOS✔ Accepts Medicare19 mi
Mitchell Yount, MD
Diagnostic Radiology
NPI 1790788115
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0387
✔ PECOS✔ Accepts Medicare19 mi
Shannon Amonette, MD
Diagnostic Radiology
NPI 1871532465
815 PENNSYLVANIA AVE
Fort Worth, TX 76104
(817) 321-0312
✔ PECOS✔ Accepts Medicare19 mi
See all 205 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Star Mcd, LLC's NPI number?

The NPI number for North Star Mcd, LLC is 1679834295. It was assigned to this organization in the NPPES registry on May 30, 2012. The provider is doing business as North Star Diagnostic Imaging.

Where is North Star Mcd, LLC located?

North Star Mcd, LLC is located at 110 Mary Lou Dr Ste 400, Willow Park, TX 76087. The listed phone number is (972) 649-6460.

What is North Star Mcd, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is North Star Mcd, LLC enrolled in Medicare?

Yes. North Star Mcd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Star Mcd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 205 clinicians in 7 Medicare specialties reassign their Medicare billing to North Star Mcd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (189), Interventional Radiology (7) and Orthopedic Surgery (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Star Mcd, LLC accept?

Health plans from Antidote Health of TX and Blue Cross and Blue Shield of Texas list North Star Mcd, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Star Mcd, LLC was last updated on February 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.