DR. IVAN MANUEL DEQUESADA M.D. NPI 1780902593

NPI Information

  • NPI: 1780902593
  • Provider Name: DR. IVAN MANUEL DEQUESADA, M.D.
  • 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

DR. Ivan Manuel Dequesada, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Ivan Manuel Dequesada, M.D. NPI is 1780902593. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

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

The NPI 1780902593 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 upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Ct scan of face without contrast (HCPCS:70486)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest with contrast (HCPCS:71260)
  • 3d radiographic procedure (HCPCS:76376)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS:0042T)
  • Ct scan of soft tissue of neck with contrast (HCPCS:70491)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of thigh bone, minimum 2 views (HCPCS:73552)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of lower leg, 2 views (HCPCS:73590)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of lower spine with contrast (HCPCS:72132)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of upper arm, minimum of 2 views (HCPCS:73060)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Ct scan of middle spine with contrast (HCPCS:72129)

The enumeration date for this NPI number is 5/4/2010 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology004915GEORGIANo
22085R0202XRadiologyDiagnostic RadiologyQ7548TEXASYes

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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