Active NPI
South Hampton Medical Imaging, LLC
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1386422293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- SOUTH HAMPTON MEDICAL IMAGING, LLC
- Practice address
- 7707 Fannin St Ste 159
Houston, TX 77054-1918 - Phone
- (832) 202-8176
- NPI assigned
- Sep 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristine Jill Sasam
- Title
- Owner/President
- Phone
- (832) 202-8176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
7707 Fannin St Ste 159
Houston, TX 77054-1918
Mailing address
13012 Shallow Falls LN
Pearland, TX 77584-6524
Phone (832) 202-8176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Houston, TX
- NPI 1356474175
-
- Diagnostic Radiology Physician
- Houston, TX
- NPI 1881673051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727395200000",
"number": "1386422293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13012 SHALLOW FALLS LN",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775846524",
"telephone_number": "832-202-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 FANNIN ST STE 159",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770541918",
"telephone_number": "832-202-8176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH HAMPTON MEDICAL IMAGING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-20",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A",
"authorized_official_last_name": "SASAM",
"authorized_official_first_name": "KRISTINE JILL",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "832-202-8176"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- South Central Houston Action Council, Inc.
- South City EMS
- South East Surgi-Center Inc
- South East Texas Post Acute Care Specialists Inc
- South Gessner Dialysis Facility
- South Houston Chiropractic LLC
- South Houston Medical & Rehab Clinic
- South Houston Mint Dentistry, PLLC
- South Houston Momentum PLLC
- South Lake Houston Emergency Medical Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.