ETHAN BOOTHE MD NPI 1508209495

NPI Details

Ethan Boothe, MD is a diagnostic radiology radiology in Fort Worth, TX with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ethan Boothe, MD NPI is 1508209495. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2013

The provider's business location address is:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0404

The NPI 1508209495 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.

• X-ray of chest, 1 view (HCPCS:71045)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Ct scan of upper spine without contrast (HCPCS:72125)
• X-ray of chest, 2 views (HCPCS:71046)
• Ct scan of chest without contrast (HCPCS:71250)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Ct scan of chest with contrast (HCPCS:71260)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of knee, 3 views (HCPCS:73562)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan of lower spine without contrast (HCPCS:72131)
• X-ray of knee, 1-2 views (HCPCS:73560)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of lower leg, 2 views (HCPCS:73590)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ct scan of leg without contrast (HCPCS:73700)
• X-ray of abdomen, 2 views (HCPCS:74019)
• Ct scan of pelvis without contrast (HCPCS:72192)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• X-ray of knee, 4 or more views (HCPCS:73564)
• X-ray of forearm, 2 views (HCPCS:73090)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of upper arm, minimum of 2 views (HCPCS:73060)
• X-ray of elbow, 2 views (HCPCS:73070)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
• Ct scan of face without contrast (HCPCS:70486)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)

The enumeration date for this NPI number is 4/10/2013 and was last updated on 7/30/2025.

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: