Organization Active NPI

North Houston Imaging Center,LTD

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Houston, TX
National Provider Identifier
1093954547
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
MDE9766 Issued in TX
Legal business name
NORTH HOUSTON IMAGING CENTER,LTD
Practice address
237 North Loop W
Houston, TX 77008-2245
Phone
(713) 861-8188
Fax
(713) 862-1733
NPI assigned
Feb 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Jonn S. Lee, M.D.,D.A.B.R.
Title
Radiologist
Phone
(713) 861-8188

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X MDE9766 TX Primary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X MDG1072 TX

Addresses

Primary practice location

237 North Loop W
Houston, TX 77008-2245

Mailing address

237 North Loop W
Houston, TX 77008-2245
Phone (713) 861-8188

Other identifiers 5

IdentifierTypeStateIssuer
00DA01OtherTXMEDICARE PROVIDER NUMBER
127736001OtherTXMEDICAID PROVIDER NUMBER
10021743OtherTXAMERIGROUP PROVIDER NUMBER
179847201MedicaidTX
612207OtherTXMEDICARE PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000052 TX Part B Supplier - Clinic/Group Practice 8921133349 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

237 North Loop W
Houston, TX 77008
Phone (713) 861-8188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1093954547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082245",
            "telephone_number": "713-861-8188",
            "fax_number": "713-862-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 NORTH LOOP W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770082245",
            "telephone_number": "713-861-8188",
            "fax_number": "713-862-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HOUSTON IMAGING CENTER,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "713-861-8188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,D.A.B.R."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": "MDE9766",
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "TX",
            "license": "MDG1072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "00DA01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "127736001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUMBER",
            "identifier": "10021743",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179847201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "612207",
            "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 Feb 6, 2009; 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.