DR. PREETAM GONGIDI D.O., M.H.S.
NPI 1902199185
Radiology - Diagnostic Radiology in Fort Worth, TX
About Dr. Preetam Gongidi D.o., M.h.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PREETAM GONGIDI D.O., M.H.S. (NPI 1902199185) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (R3089) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Preetam Gongidi D.o., M.h.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
14Medicare enrollment records show Preetam Gongidi reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas enrollment
- 445 clinicians in this Medicare group
Fort Worth, TX 76244
- Reassigned Medicare billing, Texas enrollment
- 206 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 144 clinicians in this Medicare group
Grapevine, TX 76051
- Reassigned Medicare billing, Texas enrollment
- 194 clinicians in this Medicare group
Carrollton, TX 75010
- Reassigned Medicare billing, Texas enrollment
- 201 clinicians in this Medicare group
Plano, TX 75093
- Reassigned Medicare billing, Texas enrollment
- 137 clinicians in this Medicare group
Dallas, TX 75243
- Reassigned Medicare billing, Texas enrollment
- 216 clinicians in this Medicare group
Plano, TX 75075
- Reassigned Medicare billing, Texas enrollment
- 213 clinicians in this Medicare group
Frisco, TX 75034
- Reassigned Medicare billing, Texas enrollment
- 223 clinicians in this Medicare group
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 229 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ut Health East Texas Tyler Regional Hospital
Acute Care Hospitals · Tyler, TXNorthwest Texas Hospital
Acute Care Hospitals · Amarillo, TXChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXCook Childrens Medical Center
Childrens · Fort Worth, TXMethodist Mansfield Medical Center
Acute Care Hospitals · Mansfield, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Preetam Gongidi's NPI number?
The NPI number for Preetam Gongidi is 1902199185. It was assigned to this individual provider in the NPPES registry on May 23, 2011.
Where is Preetam Gongidi located?
Preetam Gongidi practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0300.
What is Preetam Gongidi's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Preetam Gongidi enrolled in Medicare?
Yes. Preetam Gongidi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Preetam Gongidi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Preetam Gongidi reassigns Medicare benefits to 14 organizations: Radiology Associates Of North Texas, PA (Fort Worth, TX), North Star Mcd, LLC (Fort Worth, TX), Methodist-Cdi (Mansfield, TX), North Star Gv, LP (Grapevine, TX), North Star Cn, LP (Carrollton, TX) and 9 more organizations, listed in the Medicare section above. Each 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 Preetam Gongidi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Preetam Gongidi accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and HMO Louisiana list Preetam Gongidi 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.
Is Preetam Gongidi affiliated with any hospitals?
According to CMS data, Preetam Gongidi is affiliated with Ut Health East Texas Tyler Regional Hospital, Northwest Texas Hospital, Christus St Michael Health System, Cook Childrens Medical Center and Methodist Mansfield Medical Center.
When was this NPI record last updated?
The NPPES record for Preetam Gongidi was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Dr. Preetam Gongidi, D.O., M.H.S. · NPI 1902199185
Diagnostic Radiology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 23, 2011.
## Identity
- **NPI:** 1902199185 (Entity type: Individual)
- **Enumerated:** May 23, 2011
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** R3089 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 815 PENNSYLVANIA AVE, Fort Worth, TX 76104-2224
- **Phone:** (817) 321-0300
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Radiology Associates Of North Texas, PA (NPI 1861782740, Fort Worth, TX); North Star Mcd, LLC (NPI 1700550282, Fort Worth, TX); Methodist-Cdi (NPI 1841742038, Mansfield, TX); North Star Gv, LP (NPI 1922512664, Grapevine, TX); North Star Cn, LP (NPI 1013305945, Carrollton, TX); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1902199185) · Data from the CMS NPPES public registry.