Individual provider Active NPI

Ara Karamanian

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1104140847
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
Q1840 Issued in TX
Practice address
6624 Fannin St.
Suite 2580
Houston, TX 77030-2337
Phone
(713) 904-4014
Fax
(844) 308-5101
NPI assigned
Mar 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X ME166765 FL
Vascular & Interventional Radiology Physician 2085R0204X Q1840 TX Primary

Addresses

Primary practice location

6624 Fannin St.
Suite 2580
Houston, TX 77030-2337

Mailing address

6624 Fannin St.
Suite 2580
Houston, TX 77030-2337
Phone (713) 904-4014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260216001684 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1658688668 Practice locations: Jacksonville, FL

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14444 Beach Blvd
Suite 23
Jacksonville, FL 32250-2010

14444 Beach Blvd
Suite 23
Jacksonville, FL 32250-2079
Phone (904) 996-8100

1540 Business Ctr Dr
Suite B
Fleming Island, FL 32003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME166765FLMDDiagnostic Radiology Physician
Q1840TXMDVascular & Interventional Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1104140847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST.",
            "address_2": "SUITE 2580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-904-4014",
            "fax_number": "844-308-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 FANNIN ST.",
            "address_2": "SUITE 2580",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302337",
            "telephone_number": "713-904-4014",
            "fax_number": "844-308-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMANIAN",
        "first_name": "ARA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-24",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME166765",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "Q1840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.