Active NPI
Lamesa C Amenu
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1184479966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 5402 Renwick Dr Apt 1008
Houston, TX 77081-1531 - Phone
- (860) 381-9902
- NPI assigned
- Apr 23, 2024
- Last updated
- Apr 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0 | TX | Primary |
Addresses
Primary practice location
5402 Renwick Dr Apt 1008
Houston, TX 77081-1531
Mailing address
5402 Renwick Dr Apt 1008
Houston, TX 77081-1531
Phone (860) 381-9902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Space City Radiology PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1184479966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5402 RENWICK DR APT 1008",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811531",
"telephone_number": "860-381-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5402 RENWICK DR APT 1008",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770811531",
"telephone_number": "860-381-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMENU",
"first_name": "LAMESA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "0",
"primary": true
}
],
"identifiers": [],
"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 Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.