NPIMap

Organization Active NPI

Houston Northwest Radiology Assn

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1023051851
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HOUSTON NORTHWEST RADIOLOGY ASSN
Practice address
800 Peakwood Dr Ste 5E
Houston, TX 77090-2903
Phone
(281) 440-5158
Fax
(281) 206-9018
NPI assigned
Jun 13, 2006
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Hai Ngoc Nguyen, M.D.NPI 1760460059
Title
Medical Director
Phone
(281) 440-5158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

800 Peakwood Dr Ste 5E
Houston, TX 77090-2903

Mailing address

800 Peakwood Dr Ste 5E
Houston, TX 77090-2903
Phone (281) 440-5158

Other identifiers 1

IdentifierTypeStateIssuer
1216913-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL, HI, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040618000171 TX Part B Supplier - Clinic/Group Practice 5092799775 Receives reassigned benefits from 31 practitioners
Practice locations: Houston, TX
O20220412001918 IL Part B Supplier - Clinic/Group Practice 5092799775 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL
O20240119003016 HI Part B Supplier - Clinic/Group Practice 5092799775 Receives reassigned benefits from 1 practitioner
Practice locations: Kapolei, HI
O20240815000223 CA Part B Supplier - Clinic/Group Practice 5092799775 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

800 Peakwood Dr
Ste 5E
Houston, TX 77090
Phone (281) 440-5158

800 Peakwood Dr
Ste Se
Houston, TX 77090

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1023051851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "281-440-5158",
            "fax_number": "281-206-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "281-440-5158",
            "fax_number": "281-206-9018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON NORTHWEST RADIOLOGY ASSN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "281-440-5158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1216913-01",
            "state": "TX"
        }
    ],
    "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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.