DR. PAUL H. ELLENBOGEN M.D.
NPI 1982603841
Radiology - Diagnostic Radiology in Fort Worth, TX

Active since July 21, 2005
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104(817) 321-0387 Get Directions Write a Review

NPPES record last updated: August 12, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul H. Ellenbogen M.d. NPPES

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

DR. PAUL H. ELLENBOGEN M.D. (NPI 1982603841) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (F0991) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1982603841
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. PAUL H. ELLENBOGENCredential: M.D.
Location Address815 PENNSYLVANIA AVEFort Worth, TX 76104-2224
Mailing Address816 W Cannon StFort Worth, TX 76104-3146 · (817) 321-0387
Sole ProprietorNo
Enumeration DateJuly 21, 2005
Last NPPES UpdateAugust 12, 2013
NPI 1982603841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in TX · F0991
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
815 PENNSYLVANIA AVE, Fort Worth, TX 76104

Other Identifiers 8

Medicaid1244675-07TX
Medicaid124467501TX
Medicare ID-Type Unspecified89371RTX · 'other' Counties
Medicare PINTXB127269TX
Medicare PINTXB120628TX
Medicare UPINB22524TX
Medicare ID-Type Unspecified80R862TX · Dallas County
Medicaid124467505TX

Accepted Insurance

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.

Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Radiology (Diagnostic Radiology)
815 PENNSYLVANIA AVE
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 Paul Ellenbogen's NPI number?

The NPI number for Paul Ellenbogen is 1982603841. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is Paul Ellenbogen located?

Paul Ellenbogen practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0387.

What is Paul Ellenbogen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Paul Ellenbogen accept?

Health plans from Baylor Scott and White Health Plan list Paul Ellenbogen 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 Paul Ellenbogen was last updated on August 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.