DR. ADEKA D MCINTOSH M.D. NPI 1376696658

NPI Information

  • NPI: 1376696658
  • Provider Name: DR. ADEKA D MCINTOSH, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 816 W CANNON ST
    9TH FLOOR
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 321-0387

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NPI Details

DR. Adeka D Mcintosh, M.D. is a diagnostic radiology radiology in Fort Worth, TX. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Adeka D Mcintosh, M.D. NPI is 1376696658. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

816 W CANNON ST
9TH FLOOR
FORT WORTH, TX
ZIP 76104-146
Phone: (817) 321-0387

The NPI 1376696658 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 enumeration date for this NPI number is 1/19/2007 and was last updated on 9/18/2014.

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
12085P0229XRadiologyPediatric RadiologyMD438111PENNSYLVANIANo
22085P0229XRadiologyPediatric RadiologyQ0507TEXASNo
32085R0202XRadiologyDiagnostic RadiologyQ0507TEXASYes
42085R0204XRadiologyVascular & Interventional RadiologyMD438111PENNSYLVANIANo
52085R0204XRadiologyVascular & Interventional RadiologyQ0507TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1121715004MEDICAIDTEXAS
2TXB120692MEDICARE PINTEXAS
3TXB120694MEDICARE PINTEXAS
4121715008MEDICAIDTEXAS
5285250104MEDICAIDTEXAS
600J062MEDICARE PINTEXAS

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: 11/21/2025

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