NPIMap

Individual provider Active NPI

Jeffrey C London, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1104806629
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G5309 Issued in TX
Practice address
7401 Main St
Houston, TX 77030-4509
Phone
(713) 621-7436
Fax
(713) 799-8600
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G5309 TX Primary

Addresses

Primary practice location

7401 Main St
Houston, TX 77030-4509

Mailing address

1415 North Loop W Ste 240
Houston, TX 77008-1677
Phone (713) 426-4010

Other practice location 1

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 621-7436

Other identifiers 1

IdentifierTypeStateIssuer
124654805MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040809000333 TX Practitioner - Diagnostic Radiology 9335111715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
London Gohel Joint VentureGroup PAC ID 0547232027, 2 clinicians

Practice addresses (Care Compare)

7401 Main St
Houston, TX 77030-4509
Phone (713) 426-4010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
London Gohel Joint Venture Diagnostic Radiology CurrentSince Apr 1, 2004 Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

7401 Main St
Houston, TX 77030
Phone (713) 799-8600

1415 North Loop W
Ste 240
Houston, TX 77008
Phone (713) 426-9100

Organizations & group practices 2

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

Hospital & facility affiliations 11

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1104806629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081677",
            "telephone_number": "713-426-4010",
            "fax_number": "713-426-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "713-621-7436",
            "fax_number": "713-799-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7026 Old Katy Rd Ste 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242187",
            "country_code": "US",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONDON",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G5309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124654805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.