David Alan Koltz

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101239466 Issued in VA

Practice address

3000 Richmond Ave
Suite 200
Houston, TX 77098-3102

Phone

(713) 852-6682

Fax

(713) 512-6448

NPI assigned

Dec 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Houston Progressive Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1851334114
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1265615132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 RICHMOND AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983106",
            "telephone_number": "713-852-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 RICHMOND AVE",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983102",
            "telephone_number": "713-852-6682",
            "fax_number": "713-512-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTZ",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101239466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenna Kollmorgen, OTR
• Jonathan Kolmetz, LPC
• Jason M Kolodjski, DC, FNP-C
• Katherine Grace Kolp, MD
• Anna L Kolpakchi, MD
• Zaur Komachkov, MD
• Ritsuko Komaki, M.D.
• Komal Chopra Stoerr, MD PLLC
• Sweta Sri Komanduru, DO
• Allison Brook Komar, O.D.

• Diagnostic Radiology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.