Dr. Joseph M Yetto Jr., M.D.

Radiology, Diagnostic Radiology in Fort Worth, TX. Individual provider (NPI-1).

NPI number1366739005

StatusActive

Last updated in NPPESJan 9, 2024

Details

NPI: 1366739005
Entity type: Individual (NPI-1)
Name: Dr. Joseph M Yetto Jr.
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 1, 2011
Certification date: Jan 9, 2024
Last updated: Jan 9, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	T9534	TX	Yes
2085R0202X	Radiology, Diagnostic Radiology	0101252504	VA

Practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2294

Phone 817-321-0404

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3194

Phone 817-321-0404

Other practice locations

8901wisconsin Ave
Bethesda, MD 20814

Phone 301-319-4790

1 Boone Rd
Bremerton, WA 98312

Phone 817-909-0897

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diagnostic Radiology Physician providers in Fort Worth, TX

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