DR. DAVID MICHAEL DIFFLEY MD NPI 1679524631

NPI Information

  • NPI: 1679524631
  • Provider Name: DR. DAVID MICHAEL DIFFLEY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 815 PENNSYLVANIA AVE
    FORT WORTH, TX
    ZIP 76104
  • Phone: (817) 321-0312

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NPI Details

DR. David Michael Diffley, MD 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. David Michael Diffley, MD NPI is 1679524631. 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:

815 PENNSYLVANIA AVE
FORT WORTH, TX
ZIP 76104-224
Phone: (817) 321-0312
Fax: (817) 317-7033

The NPI 1679524631 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer 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)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of chest, 2 views (HCPCS:71046)

The enumeration date for this NPI number is 5/15/2006 and was last updated on 8/14/2012.

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
12085B0100XRadiologyBody ImagingH4001TEXASNo
22085N0700XRadiologyNeuroradiologyH4001TEXASNo
32085N0904XRadiologyNuclear RadiologyH4001TEXASNo
42085P0229XRadiologyPediatric RadiologyH4001TEXASNo
52085R0204XRadiologyVascular & Interventional RadiologyH4001TEXASNo
62085U0001XRadiologyDiagnostic UltrasoundH4001TEXASNo
72085R0202XRadiologyDiagnostic RadiologyH4001TEXASYes

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
1138269908MEDICAIDTEXAS
2H4001OTHERTEXASTX PHYSICIANS PERMIT
3B22265MEDICARE UPINTEXAS
483R703MEDICARE ID-TYPE UNSPECIFIEDTEXAS

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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