Organization Active NPI

Kingspoint Medical Imaging Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
National Provider Identifier
1396065140
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
R33971 Issued in TX
Legal business name
KINGSPOINT MEDICAL IMAGING INC
Practice address
14200 Gulf Fwy Ste 102
Houston, TX 77034-5361
Phone
(713) 943-9933
Fax
(713) 943-1833
NPI assigned
Jun 3, 2010
Last updated
Mar 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Mr. Celestine Ndille Ngole, RT(R)
Title
Ceo
Phone
(832) 766-3614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X R33971 TX Primary

Addresses

Primary practice location

14200 Gulf Fwy Ste 102
Houston, TX 77034-5361

Mailing address

14200 Gulf Fwy Ste 102
Houston, TX 77034-5361
Phone (713) 943-9933

Other names 1

  • kingspoint Medical Imaging Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140513001031 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5193840536 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX
O20200916001805 TX Part B Supplier - Portable X-Ray Supplier 5193840536 Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1396065140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14200 GULF FWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345361",
            "telephone_number": "713-943-9933",
            "fax_number": "713-943-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 GULF FWY STE 102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770345361",
            "telephone_number": "713-943-9933",
            "fax_number": "713-943-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSPOINT MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "NGOLE",
        "authorized_official_first_name": "CELESTINE",
        "authorized_official_middle_name": "NDILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-766-3614",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "TX",
            "license": "R33971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kingspoint Medical Imaging Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 22, 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.

Verify at the official NPI Registry.