Organization Active NPI

Century Radiation Oncology PLLC

  • Radiation Oncology Physician
  • Houston, TX
National Provider Identifier
1255569679
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
K9353 Issued in TX
Legal business name
CENTURY RADIATION ONCOLOGY PLLC
Practice address
9150 S Main St
Suite a-3
Houston, TX 77025-3843
Phone
(713) 630-8161
NPI assigned
Jun 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Sanjay C Mehta, MD
Title
Owner
Phone
(713) 630-8161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X K9353 TX Primary

Addresses

Primary practice location

9150 S Main St
Suite a-3
Houston, TX 77025-3843

Mailing address

6565 West Loop S
Suite 400
Bellaire, TX 77401-3500
Phone (713) 589-6879

Other identifiers 2

IdentifierTypeStateIssuer
152402701MedicaidTX
1316009806OtherTXNPI

National Provider Directory

National Provider Directory

Locations

9150 Main St
Ste A3
Houston, TX 77025
Phone (713) 630-8181

200 Andover Park E
Ste 13
Tukwila, WA 98188
Phone (206) 922-6400

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1255569679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP S",
            "address_2": "SUITE 400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013500",
            "telephone_number": "713-589-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 S MAIN ST",
            "address_2": "SUITE A-3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770253843",
            "telephone_number": "713-630-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY RADIATION ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-630-8161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "K9353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152402701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316009806",
            "state": "TX"
        }
    ],
    "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 Feb 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.