Active NPI
David Baltrusaitis, MD
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- M9208
- Practice address
- 6411 Fannin St
Houston, TX 77030-1501 - Phone
- (713) 797-5929
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 1018387 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | M9208 | TX | Primary |
Addresses
Primary practice location
6411 Fannin St
Houston, TX 77030-1501
Mailing address
6411 Fannin St
Houston, TX 77030-1501
Other practice location 1
75 Francis St
Boston, MA 02115-6106
Phone (781) 416-8400
Other practice location 2
263 Farmington Ave
Farmington, CT 06030-2725
Phone (860) 679-4763
Other practice location 3
4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-5466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Medical College of Wisconsin, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1241 Campbell Rd
Houston, TX 77055-6453
Phone (713) 461-3399
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Harris Health
- Memorial Hermann Hospital System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M9208 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Brigham & Womens Physicians Organization Inc | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Harbor Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Harbor Medical Associates, Inc. | Current | Accepting new patients |
Locations
75 Francis St
Boston, MA 02115
62 13th St
Charlestown, MA 02129
Phone (617) 724-4260
541 Main St
Ste 314
Weymouth, MA 02190
Phone (781) 952-1200
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
#135
Houston, TX 77030
Interoperability endpoints
- david.baltrusaitis@xdr.hhchealthdirect.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1912989120
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Cardiovascular Disease Physician
- South Weymouth, MA
- NPI 1124079561
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Diagnostic Radiology Physician
- S. Weymouth, MA
- NPI 1689909723
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1003301847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-797-5929"
}
],
"practiceLocations": [
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156106",
"country_code": "US",
"telephone_number": "781-416-8400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060302725",
"country_code": "US",
"telephone_number": "860-679-4763",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4777 E Galbraith Rd",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452362725",
"country_code": "US",
"telephone_number": "513-686-5466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALTRUSAITIS",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "1018387",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "M9208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.