Individual provider Active NPI

Manav Bhalla

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1326394537
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
47571 Issued in TX
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1326394537MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140702002622 WI Practitioner - Diagnostic Radiology 7214152370 Reassigns benefits to 2 organizations
I20220207000882 TX Practitioner - Diagnostic Radiology 7214152370 Reassigns benefits to 8 organizations

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
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

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

LicenseStateTypeSpecialty
61230WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Adi Radiology PC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Murfreesboro Radiology & Nuclear Medicine Consultants PLLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Ut Physicians CurrentSince Apr 1, 2022 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Feb 7, 2026 Accepting new patients
Middle Tennessee Imaging LLC Diagnostic Radiology CurrentSince Dec 9, 2025 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Jan 1, 2026 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.