W CRYSUP SORY MD NPI 1003819426

NPI Information

  • NPI: 1003819426
  • Provider Name: W CRYSUP SORY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12700 PARK CENTRAL DR
    STE 430
    DALLAS, TX
    ZIP 75251
  • Phone: (972) 239-8902

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NPI Details

W Crysup Sory, MD is a diagnostic radiology radiology in Dallas, TX with 46 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. W Crysup Sory, MD NPI is 1003819426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:1979

The provider's business location address is:

12700 PARK CENTRAL DR
STE 430
DALLAS, TX
ZIP 75251-527
Phone: (972) 239-8902
Fax: (972) 661-2551

The NPI 1003819426 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)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of face without contrast (HCPCS:70486)
  • Fluoroscopic guidance for spine or back muscle injection (HCPCS:77003)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Administration of chemotherapy into fluid-filled space between the tissue that cover the brain and spinal cord (HCPCS:96450)
  • Computed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast (HCPCS:0042T)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)

The enumeration date for this NPI number is 5/31/2005 and was last updated on 2/5/2021.

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 RadiologyF4552TEXASYes

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
1138214501MEDICAIDTEXAS

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: 3/30/2025

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