MATTHEW PAUL FIESTA MD NPI 1316100084

NPI Information

  • NPI: 1316100084
  • Provider Name: MATTHEW PAUL FIESTA, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 815 PENNSYLVANIA AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 321-0300

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NPI Details

Matthew Paul Fiesta, MD is a diagnostic radiology radiology in Fort Worth, TX with 17 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Matthew Paul Fiesta, MD NPI is 1316100084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2008

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0300

The NPI 1316100084 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasonic guidance for blood vessel access (HCPCS:76937)
  • Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist (HCPCS:36224)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Imaging of blood vessel (HCPCS:75898)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Insertion of tube into brain artery for diagnosis or treatment with review by radiologist (HCPCS:36226)
  • Insertion of tube into chest artery for diagnosis or treatment with review by radiologist (HCPCS:36225)
  • Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist (HCPCS:36223)
  • Review by radiologist of image for insertion of material to block blood flow (HCPCS:75894)
  • Removal of blood clot and injection to dissolve blood clot from head artery using fluoroscopic guidance (HCPCS:61645)

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyN5674TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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