CHARLES B. GOVER-MENDEZ M.D. NPI 1295733822

NPI Information

  • NPI: 1295733822
  • Provider Name: CHARLES B. GOVER-MENDEZ, 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) 321-0404

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NPI Details

Charles B. Gover-mendez, M.D. is a diagnostic radiology radiology in Fort Worth, TX with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Charles B. Gover-mendez, M.D. NPI is 1295733822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

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

The NPI 1295733822 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.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml (HCPCS:A9579)
  • Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Blood creatinine level (HCPCS:82565)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ultrasound of leg arteries or artery grafts (HCPCS:93925)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Limited ultrasound scan of pelvis (HCPCS:76857)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • Fluoroscopic guidance for needle placement (HCPCS:77002)
  • Ultrasound scan of organ tissue for measuring elasticity (HCPCS:76981)
  • Mri scan of blood vessels of head before and after contrast (HCPCS:70546)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Ct scan of face without contrast (HCPCS:70486)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Double contrast x-ray of upper digestive tract (HCPCS:74246)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • X-ray of chest, 1 view (HCPCS:71045)

The enumeration date for this NPI number is 7/8/2005 and was last updated on 8/28/2024.

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 RadiologyJ9689TEXASYes

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
11052540-02MEDICAIDTEXAS

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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