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

Dr. Preetam Gongidi, DO, MHS

Individual provider Pediatric Radiology Physician · NPI 1902199185

Dr. Preetam Gongidi, DO, MHS is a Diagnostic Radiology in Fort Worth, Texas. Qualified in 2011, 15 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group. Licensed in Louisiana, Mississippi, Pennsylvania and Texas.

Years since qualifying
15
Licensed in
LA, MS, PA, TX
In the registry since
2011
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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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 R3089 (TX)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence OT016084 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 34798 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 345512 (LA)

Record details

NPI number1902199185
Entity typeIndividual (Type 1)
GenderMale
Credentials DO , MHS
Sole proprietorYes
NPI enumeratedMay 23, 2011
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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