Individual provider Active NPI

Daniel R Backlas, MD

  • Diagnostic Radiology Physician
  • Cypress, TX
National Provider Identifier
1013021336
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H3642 Issued in TX
Practice address
21214 Northwest Fwy
Suite 220
Cypress, TX 77429-3373
Phone
(832) 912-3600
Fax
(832) 912-3638
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X H3642 TX Primary

Addresses

Primary practice location

21214 Northwest Fwy
Suite 220
Cypress, TX 77429-3373

Mailing address

PO Box 765
Indianapolis, IN 46206-0765
Phone (888) 685-3915

Other identifiers 1

IdentifierTypeStateIssuer
129132006MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050928001216 TX Practitioner - Diagnostic Radiology 1052346079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

12801 Hacienda RDG
Austin, TX 78738-7652
Phone (713) 461-3573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Diagnostic MRI Central LLC Diagnostic Radiology CurrentSince Nov 7, 2020 Accepting new patients

Locations

21214 Northwest Fwy
Ste 220
Cypress, TX 77429
Phone (832) 912-3600

21214 Northwest Fwy
Cypress, TX 77429
Phone (832) 912-3500

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

830 Gemini St
Houston, TX 77058
Phone (281) 488-3575

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

101 E Ridge Rd
McAllen, TX 78503
Phone (956) 632-6000

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1013021336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 765",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462060765",
            "telephone_number": "888-685-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21214 NORTHWEST FWY",
            "address_2": "SUITE 220",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774293373",
            "telephone_number": "832-912-3600",
            "fax_number": "832-912-3638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACKLAS",
        "first_name": "DANIEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129132006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.