P Praxis·MD
● Active Type 1 · Individual

Manoj A Ketkar, MD

Radiology·Fort Worth, TX· NPI 1720298219 · Enumerated 2007 · 19 years on NPI
Ketkar is 1 of 276 radiology providers in Fort Worth and 1 of 3776 in Texas.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
TX, LA
2 states
Status
Active
No deactivations on record
Last NPPES update
2013-06-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
815 Pennsylvania Ave
Fort Worth, TX 761042224
📞 8173210387
Mailing address
816 W Cannon St
Fort Worth, TX 761043146
📞 8173210387

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #N9884LA license #200896 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (TX) 121715004
05 (TX) 285250104
05 (TX) 121715008
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 244 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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