Active NPI
Manav Bhalla
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 47571
- Practice address
- 6411 Fannin St Dept of
Houston, TX 77030-1501 - Phone
- (713) 704-1704
- Fax
- (713) 704-1715
- NPI assigned
- Jul 25, 2012
- Last updated
- Apr 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 61230 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 47571 | TX | Primary |
Addresses
Primary practice location
6411 Fannin St Dept of
Houston, TX 77030-1501
Mailing address
6431 Fannin St Dept of
Houston, TX 77030-1501
Phone (713) 704-1704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326394537 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4614 Elan Bend CT
Sugar Land, TX 77479-7170
Phone (615) 312-0600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61230 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Adi Radiology PC | Diagnostic Radiology | Current | Accepting new patients |
| Murfreesboro Radiology & Nuclear Medicine Consultants PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients | |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Middle Tennessee Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Alliance PC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Past | Accepting new patients |
| Shelin Agrawal and Hyer PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2811 W Horizon Ridge Pkwy
Henderson, NV 89052
2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779
3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-3544
3186 S Maryland Pkwy
Las Vegas, NV 89109
Phone (702) 731-8000
3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779
4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554
6675 S Cimarron Rd
Las Vegas, NV 89113
7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568
1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
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.
-
dba Desert Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
TX
-
dba Mid-State Radiology
- Diagnostic Radiology Physician
- Murfreesboro, TN
- NPI 1316043524
TX
-
dba Desert Radiology Solutions
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1861783961
TX
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1912989120
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tristar Horizon Medical Center
- General Acute Care Hospital
- Dickson, TN
- NPI 1871530832
-
dba Tristar Summit Medical Center
- General Acute Care Hospital
- Hermitage, TN
- NPI 1982650024
-
dba Tristar Skyline Medical Center
- General Acute Care Hospital
- Nashville, TN
- NPI 1295780476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1326394537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6431 FANNIN ST DEPT OF",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-704-1704",
"fax_number": "713-704-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 FANNIN ST DEPT OF",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301501",
"telephone_number": "713-704-1704",
"fax_number": "713-704-1715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHALLA",
"first_name": "MANAV",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-25",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "61230",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "47571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326394537",
"state": "WI"
}
],
"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 Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.