Individual provider Active NPI

Justin Tholany, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1417903618
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L8974 Issued in TX
Practice address
7026 Old Katy Rd.
Suite 276
Houston, TX 77024
Phone
(713) 621-7436
Fax
(713) 963-9051
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L8974 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd.
Suite 276
Houston, TX 77024

Mailing address

7026 Old Katy Road
Suite 276
Houston, TX 77024
Phone (713) 621-7436

Other identifiers 6

IdentifierTypeStateIssuer
P00101578OtherTXMEDICARE RAILROAD
00J245OtherTXMEDICARE GROUP
CS7910OtherTXMEDICARE RAILROAD GROUP
083133101OtherTXMEDICAID GROUP
10013919OtherTXAMERIGROUP
165436001MedicaidTX

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
I20040611001217 TX Practitioner - Diagnostic Radiology 1850374596 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians

Practice addresses (Care Compare)

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

4035 Underwood St
Houston, TX 77025-1717
Phone (832) 915-2534

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Jul 1, 2004 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients

Locations

8310 W Camelback Rd
Glendale, AZ 85305
Phone (480) 307-9610

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

251 N Estrella Pkwy
Goodyear, AZ 85338
Phone (623) 322-6900

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

7895 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 543-6770

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1417903618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY ROAD",
            "address_2": "SUITE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD.",
            "address_2": "SUITE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-621-7436",
            "fax_number": "713-963-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOLANY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L8974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00101578",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "00J245",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GROUP",
            "identifier": "CS7910",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "083133101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10013919",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165436001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.