NPIMap

Organization Active NPI

Ag Radiology Imaging Center, LLC

  • Radiology Clinic/Center
  • Katy, TX
National Provider Identifier
1235499658
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
AG RADIOLOGY IMAGING CENTER, LLC
Practice address
601 Park Grove LN
Katy, TX 77450-5542
Phone
(832) 321-3434
Fax
(832) 321-3434
NPI assigned
May 18, 2012
Last updated
Mar 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Dr. Girish Agrawal, M.D.NPI 1285612572
Title
Manager
Phone
(713) 213-0167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

601 Park Grove LN
Katy, TX 77450-5542

Mailing address

12222 Laguna Terrace Dr
Houston, TX 77041-6175
Phone (713) 213-0167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120912000619 TX Part B Supplier - Clinic/Group Practice 3375791536 Receives reassigned benefits from 4 practitioners
Practice locations: Houston, TX; Katy, TX; Lakehills, TX; Lufkin, TX
O20210111000951 AZ Part B Supplier - Clinic/Group Practice 3375791536 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ
O20210127002681 IL Part B Supplier - Clinic/Group Practice 3375791536 Receives reassigned benefits from 1 practitioner
Practice locations: South Barrington, IL

National Provider Directory

National Provider Directory

Locations

601 Park Grove Dr
Park Row, TX 77450
Phone (713) 213-0167

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1235499658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12222 LAGUNA TERRACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770416175",
            "telephone_number": "713-213-0167",
            "fax_number": "713-896-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PARK GROVE LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774505542",
            "telephone_number": "832-321-3434",
            "fax_number": "832-321-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG RADIOLOGY IMAGING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "AGRAWAL",
        "authorized_official_first_name": "GIRISH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-213-0167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.