Individual provider Active NPI

Bao Ngoc To, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1093940298
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
68166 Issued in TN
Practice address
9111 Winkbow Dr
Houston, TX 77040-1560
Phone
(865) 766-6870
Fax
(865) 766-0133
NPI assigned
May 18, 2009
Last updated
Apr 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X A82593 CA
Diagnostic Radiology Physician 2085R0202X M9699 TX
Diagnostic Radiology Physician 2085R0202X 68166 TN Primary

Addresses

Primary practice location

9111 Winkbow Dr
Houston, TX 77040-1560

Mailing address

2001 Laurel Ave # N304
Knoxville, TN 37916-1810
Phone (865) 766-6870

Other identifiers 2

IdentifierTypeStateIssuer
280139101MedicaidTX
8CU599OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110512000450 TX Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 3779543798 Reassigns benefits to 3 organizations
I20211206001691 OK Practitioner - Diagnostic Radiology 3779543798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Texas a & M University System, HSC, College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista Radiology, PCGroup PAC ID 9234041559, 64 clinicians

Practice addresses (Care Compare)

9111 Winkbow Dr
Houston, TX 77040-1560
Phone (865) 766-6870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
75.62
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82593CAMDNuclear Medicine Physician
68166TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Radiology Services LLC Diagnostic Radiology CurrentSince Apr 9, 2023 Accepting new patients
Vista Radiology, PC. Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Mar 1, 2020 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Oct 5, 2020 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

4709 Papermill Dr
Ste 201
Knoxville, TN 37909

Dept 888302
Knoxville, TN 37995

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

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

16750 Red Oak Dr
Houston, TX 77090
Phone (281) 453-7110

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

921 Gessner Rd
Fl 1
Houston, TX 77024

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

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1093940298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 LAUREL AVE # N304",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379161810",
            "telephone_number": "865-766-6870",
            "fax_number": "865-766-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 WINKBOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770401560",
            "telephone_number": "865-766-6870",
            "fax_number": "865-766-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "BAO",
        "middle_name": "NGOC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-18",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "A82593",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "M9699",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "68166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280139101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CU599",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.