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

NPI Status: Active since July 21, 2005

Contact Information

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104
Phone: (817) 321-0387

Get Directions Reviews

  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance

About PAUL ELLENBOGEN

This page provides the complete NPI Profile along with additional information for Paul Ellenbogen, a provider established in Fort Worth, Texas with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1982603841 assigned on July 2005. The practitioner's primary taxonomy code is 2085R0202X with license number F0991 (TX). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1982603841
Provider Name
DR. PAUL H. ELLENBOGEN M.D.
Gender
Male
Entity Type
Individual
Location Address
815 PENNSYLVANIA AVE FORT WORTH, TX 76104
Location Phone
(817) 321-0387
Mailing Address
816 W CANNON ST FORT WORTH, TX 76104
Mailing Phone
(817) 321-0387
Is Sole Proprietor?
No
Enumeration Date
07-21-2005
Last Update Date
08-12-2013
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
F0991
License State
TX
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) - HMO
  • BSW Elite Gold HMO 012 - HMO
  • BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) - HMO
  • BSW Prime Silver HMO 005 - HMO
  • BSW Savers Bronze HMO H S A 006 - HMO
  • BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) - HMO
  • BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) - HMO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1244675-07MEDICAID (05)TX 
124467501MEDICAID (05)TX 
89371RMEDICARE ID-TYPE UNSPECIFIED (04)TX'OTHER' COUNTIES
TXB127269MEDICARE PIN (08)TX 
TXB120628MEDICARE PIN (08)TX 
B22524MEDICARE UPIN (02)TX 
80R862MEDICARE ID-TYPE UNSPECIFIED (04)TXDALLAS COUNTY
124467505MEDICAID (05)TX 

Reviews for DR. PAUL H. ELLENBOGEN M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982603841
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29162120688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 2 + 0 + 6 + 8 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1982603841 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912959933DR. DAVID J ROBINSON MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1235407248 PHYLLIS ANN MOORE FNP
Individual
Nurse Practitioner (Family)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1184627994DR. DAVID A FENYES M.D.,PH.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1619976180DR. NOAH B. APPEL M. D.
Individual
Radiology (Vascular & Interventional Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1972502367DR. TED L CARELOCK M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1598764821DR. ALEX T. CHUANG M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1558360909DR. SCOTT A. BUNDY M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1164421095DR. CLINT D. HAMILTON M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1255331120DR. LISA MARTINEZ M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1639179443DR. CYNTHIA S. SHERRY M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1013917731DR. JEFFREY SCOTT WENZEL M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1831199686DR. JAMES PYONG-KON PAK M.D.
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0387
1154300283DR. STUART A ARONSON MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1386624492DR. ROBERT EDWARD FUSSELMAN MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1093795189DR. BERNARD JOSEPH GRALINO JR. MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1619957735DR. DANNY JOE GARMER MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1558341669DR. PENNY MEGISON LABOR MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1407836430DR. JOHN JOSEPH HEALEY II MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1427038454DR. CARLOS KEITH HAYDEN JR. MD
Individual
Radiology (Pediatric Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312
1154301554DR. RICHARD THOMPSON GRANAGHAN MD
Individual
Radiology (Diagnostic Radiology)815 PENNSYLVANIA AVE
FORT WORTH, TX 76104
(817) 321-0312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982603841, enumerated in the NPI registry as an "individual" on July 21, 2005

The provider is located at 815 Pennsylvania Ave Fort Worth, Tx 76104 and the phone number is (817) 321-0387

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 21, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.