Individual provider Active NPI

Mary F. Ice, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1235117680
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
K7441 Issued in TX
Practice address
17080 Red Oak Dr
Houston, TX 77090-2602
Phone
(281) 880-6991
NPI assigned
Jan 5, 2006
Last updated
Mar 19, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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 K7441 TX Primary

Addresses

Primary practice location

17080 Red Oak Dr
Houston, TX 77090-2602

Mailing address

714 FM 1960 Rd W
Suite 206
Houston, TX 77090-3405

Other identifiers 2

IdentifierTypeStateIssuer
1519159-04MedicaidTX
P00303832OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060503000498 TX Practitioner - Diagnostic Radiology 0143230284 Reassigns benefits to 3 organizations
I20150924002720 OH Practitioner - Diagnostic Radiology 0143230284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Imaging Specialists PAGroup PAC ID 7517853351, 44 clinicians

Practice addresses (Care Compare)

5115 Ursula LN
Dallas, TX 75229-6419
Phone (866) 717-2551

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K7441TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Aug 15, 2014 Accepting new patients
Rose Imaging Specialists, P.a. Diagnostic Radiology CurrentSince Aug 15, 2014 Accepting new patients
Columbus Mammography Center, Inc. CurrentSince Sep 10, 2015 Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology PastSince Mar 13, 2022 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Columbus Mammography Center Inc PastSince Sep 10, 2015 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Ut Imaging - Houston LLP Diagnostic Radiology Past Accepting new patients
Ben-Ora, Hansen, & Vanesian Imaging Past Accepting new patients
Ben-Ora, Hansen & Vanesian Imaging Past Accepting new patients

Locations

974 Bethel Rd
Ste F
Columbus, OH 43214
Phone (614) 459-7880

15601 Dallas Pkwy
Ste 500
Addison, TX 75001
Phone (469) 398-4129

15601 Dallas Pkwy
Ste 300
Addison, TX 75001
Phone (469) 398-4100

12200 Renfert Way
Ste 100
Austin, TX 78758
Phone (512) 451-8211

12201 Renfert Way
Austin, TX 78758
Phone (512) 277-7500

600 Elizabeth St
Corpus Christi, TX 78404
Phone (361) 325-2511

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

5575 Warren Pkwy
Ste 220
Frisco, TX 75034
Phone (214) 618-3686

1250 8th Ave
Ste 130
Ft Worth, TX 76104
Phone (817) 886-0880

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

800 Peakwood Dr
Ste 5E
Houston, TX 77090
Phone (281) 440-5158

714 FM 1960 Rd W
Ste 206
Houston, TX 77090

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

6750 N MacArthur Blvd
Ste 153
Irving, TX 75039
Phone (469) 677-3174

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

10970 Shadow Creek Pkwy
Ste 190
Pearland, TX 77584
Phone (713) 770-7767

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Interoperability endpoints

  • Direct secure messaging: mice@direct.uspi.com

Organizations & group practices 12

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1235117680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 FM 1960 RD W",
            "address_2": "SUITE 206",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17080 RED OAK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902602",
            "telephone_number": "281-880-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "MARY",
        "middle_name": "F.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K7441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519159-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303832",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.