IndividualActive
Paul Ellenbogen, M.D.
NPI 1982603841 · Diagnostic Radiology Physician · Fort Worth, TX
Provider details
- NPI number
- 1982603841
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- F0991 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone: (817) 321-0387
Street-level locationGet directions
Mailing address
816 W Cannon St
Fort Worth, TX 76104-3146
Registry dates
- Enumerated
- 2005-07-21
- Last updated
- 2013-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.