NPIMap

Organization Active NPI

Health Imaging Partners, LLC

Doing business as Envision Imaging of Hulen

  • Physiological Laboratory
  • Fort Worth, TX
National Provider Identifier
1104109552
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
HEALTH IMAGING PARTNERS, LLC
Doing business as
Envision Imaging of Hulen
Practice address
2911 Oak Park Circle
Fort Worth, TX 76109
Phone
(817) 207-9600
Fax
(817) 207-9692
NPI assigned
Sep 22, 2011
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Andrew Benson
Title
Chief Revenue Officer
Phone
(719) 955-4332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X R38269 TX
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

2911 Oak Park Circle
Fort Worth, TX 76109

Mailing address

8610 Explorer Drive
Ste 300
Colorado Springs, CO 80920-1036
Phone (719) 955-4332

Other identifiers 2

IdentifierTypeStateIssuer
2953184-01MedicaidTX
2953184-02MedicaidTX

Other names 1

  • ENVISION IMAGING OF HULEN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120403000121 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4789727538 Practice locations: Fort Worth, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1054803Health Imaging Partners LLC Dba2911 Oak Park Circle, Fort Worth, TX 76109Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 313

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 313

NPI Registry JSON

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1104109552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 EXPLORER DRIVE",
            "address_2": "STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201036",
            "telephone_number": "719-955-4332",
            "fax_number": "719-955-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 OAK PARK CIRCLE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76109",
            "telephone_number": "817-207-9600",
            "fax_number": "817-207-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH IMAGING PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF REVENUE OFFICER",
        "authorized_official_telephone_number": "719-955-4332"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R38269",
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2953184-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2953184-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENVISION IMAGING OF HULEN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ENVISION IMAGING OF HULEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.