Individual provider Active NPI

Viren J Balsara, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1194715383
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G4258 Issued in TX
Practice address
1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone
(713) 861-8200
Fax
(713) 861-8261
NPI assigned
Oct 27, 2005
Last updated
Oct 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 G4258 TX Primary

Addresses

Primary practice location

1415 North Loop W
Suite 820
Houston, TX 77008-1664

Mailing address

1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone (713) 861-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100713000146 TX Practitioner - Diagnostic Radiology 4880628676 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4258TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI LP CurrentSince Jun 10, 2022 Accepting new patients
North Star FP, LP CurrentSince Jun 9, 2022 Accepting new patients
DRH & Associates, Inc CurrentSince May 14, 2021 Accepting new patients
North Star FM, LP CurrentSince Jun 8, 2022 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince May 20, 2022 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 10, 2022 Accepting new patients
Synergy Radiology Associates PLLC PastSince Jun 11, 2023 Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

8501 Wade Blvd
#220N
Frisco, TX 75034

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Organizations & group practices 8

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1194715383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALSARA",
        "first_name": "VIREN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G4258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.