Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ivan Manuel Dequesada II, MD

Individual provider Diagnostic Radiology Physician · NPI 1780902593

Dr. Ivan Manuel Dequesada II, MD is a Diagnostic Radiology in Fort Worth, Texas. Graduated from University of Florida College of Medicine in 2010, 16 years ago. Practices with Radiology Associates of North Texas PA, a 341-clinician group. Licensed in Georgia and Texas.

Years since qualifying
16
Trained at
University of Florida College of Medicine
Licensed in
GA, TX
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone: (817) 321-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence Q7548 (TX)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 004915 (GA)

Record details

NPI number1780902593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2010
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Radiology Associates Of North Texas Pa — 341 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

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