Individual provider Active NPI

Kelli Y. Ha, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1275859803
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P3726 Issued in TX
Practice address
6550 Fannin St Ste 749
Houston, TX 77030-2738
Phone
(713) 441-7465
NPI assigned
Apr 7, 2010
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Diagnostic Radiology Physician 2085R0202X P3726 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 749
Houston, TX 77030-2738

Mailing address

6550 Fannin St Ste 749
Houston, TX 77030-2738
Phone (713) 441-7465

Other practice location 1

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 2

IdentifierTypeStateIssuer
360013203MedicaidTX
360013205MedicaidTX

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
I20160719001655 TX Practitioner - Diagnostic Radiology 7618260381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Radiology Associates, PLLCGroup PAC ID 3678652625, 15 clinicians

Practice addresses (Care Compare)

The Woodlands, TX 77385
Phone (936) 270-3631

16655 Southwest Fwy
Sugar Land, TX 77479-2329
Phone (713) 441-7465

18220 State Hwy 249
Suite 1280
Houston, TX 77070-4347
Phone (281) 737-1900

18220 Tomball Pkwy
Houston, TX 77070-4347
Phone (713) 441-7465

6550 Fannin St
Suite 749
Houston, TX 77030-2738
Phone (713) 441-7465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P3726TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 20, 2017 Accepting new patients

Locations

6550 Fannin St
Ste 749
Houston, TX 77030
Phone (713) 441-5097

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1275859803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 749",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "713-441-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 749",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "713-441-7465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12554 Riata Vista Cir",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787276431",
            "country_code": "US",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "KELLI",
        "middle_name": "Y.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P3726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360013203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360013205",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.