NPIMap

Organization Active NPI

Memorial Hermann Health System

Doing business as Mhhs Hermann Outpatient Imaging Center

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
National Provider Identifier
1437189115
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
Mhhs Hermann Outpatient Imaging Center
Practice address
6400 Fannin St
16TH Floor
Houston, TX 77030-1511
Phone
(713) 704-1203
Fax
(713) 338-4158
NPI assigned
Jul 5, 2006
Last updated
Jun 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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

Authorized official

Name
Mr. Dennis Laraway
Title
Cfo
Phone
(713) 242-2707

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU
Physiological Laboratory 293D00000X NU
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

6400 Fannin St
16TH Floor
Houston, TX 77030-1511

Mailing address

PO Box 301208
Dallas, TX 75303-1208
Phone (713) 338-4127

Other identifiers 1

IdentifierTypeStateIssuer
146509805MedicaidTX

Other names 1

  • Mhhs Hermann Outpatient Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071211000800 TX Part A Provider - Hospital 1759292683 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Katy, TX; Shenandoah, TX; Sugar Land, TX; Cypress, TX; Bellaire, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437189115. Details of each certification follow.

Hospital certification: CCN 450068

Legal name
MEMORIAL HERMANN HEALTH SYSTEM
Doing business as
MEMORIAL HERMANN TEXAS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 31, 2025
Beds
1,220
Ownership / control type
Private (not for profit)
Most recent change of ownership
Nov 4, 1997 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 31, 1910 in TX
Enrollment address
6411 Fannin St
Houston, TX 77030-1501
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial Hermann - Texas Medical CenterCCN 450068 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

6400 Fannin St
Fl 16
Houston, TX 77030
Phone (713) 500-7631

Ownership & related parties

All disclosed owners & managing parties 29

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Greg Armstrong Individual Other Jan 1, 2025
Rishi Varma Individual Other Jan 1, 2025
Monica Benton Individual Other Jan 1, 2025
Memorial Hermann Health System Organization, Houston, TX Corporation 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Operational/Managerial Control Jan 1, 2013 100%
Richard Figueroa Individual Other Jan 1, 2025
Theresa Ancelet Pappas Individual Corporate OfficerVP Revenue Cycle Hospital Operation Nov 1, 2025
Sara Ortwein Individual Other Jan 1, 2025
John a. Graf Individual Other Jan 1, 2020
Jarvis Hollingsworth Individual Other Jan 1, 2025
Jay F Schneider Individual Other Jan 1, 2020
David Habachy Individual Other Jan 1, 2025
John Esquivel Individual Other Jan 1, 2025
Alan Victor Ytterberg Individual Corporate Director Feb 8, 2022
Neelofer S Durrani Individual Other Jan 1, 2025
Anne Taylor Individual Corporate Director Feb 8, 2022
Max Reynolds Individual Corporate Officer Jan 1, 2025
W-2 Managing Employee Jan 1, 2025
Ira L Flax Individual Other Jan 1, 2025
Charmaine Ferguson Individual W-2 Managing EmployeeVP Risk Management and Litigation Aug 1, 2018
Aileen McCormick Individual Other Jan 1, 2025
Edward Adams Individual Other Jan 1, 2025
Caralisa M Simon Individual Other Jan 1, 2025
Harry Pefanis Individual Other Jan 1, 2025
Gary J Sheppard Individual Corporate Director Feb 8, 2022
Kevin Brady Individual Other Jan 1, 2025
Alejandra Loessin Individual Corporate Officer Jan 1, 2025
Anne Clutterbuck Individual Other Jan 1, 2025
Donald M Woo Individual Other Jan 1, 2020
David L Callender Individual Corporate OfficerPresident Dec 1, 2019
W-2 Managing EmployeeChief Executive Officer Dec 1, 2019
Willoughby C Williams Individual Other Jan 1, 2025

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Practitioners & affiliated clinicians

Affiliated clinicians 2,143

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 2,143

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1437189115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301208",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753031208",
            "telephone_number": "713-338-4127",
            "fax_number": "713-338-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST",
            "address_2": "16TH FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301511",
            "telephone_number": "713-704-1203",
            "fax_number": "713-338-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HERMANN HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-242-2707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146509805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mhhs Hermann Outpatient Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.