Individual provider Active NPI

Alireza Mojtahedi

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1467625285
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
P6042 Issued in TX
Practice address
1 Baylor PLZ
Houston, TX 77030
Phone
(713) 798-4951
NPI assigned
Apr 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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 P6042 TX Primary

Addresses

Primary practice location

1 Baylor PLZ
Houston, TX 77030

Mailing address

11234 Anderson St
House Staff Office CP 21005
Loma Linda, CA 92354-2804

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
I20191112000006 TX Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 6406288513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Nuclear Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians
Baylor College of MedicineGroup PAC ID 8022243971, 1,230 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

1725 Hughes Landing Blvd
The Woodlands, TX 77380-3873
Phone (713) 798-7810

2 Greenway PLZ
Suite 900
Houston, TX 77046-0205

2457 S Braeswood Blvd
Houston, TX 77030-4305
Phone 71379817502

3701 Kirby Dr
Houston, TX 77098-3921

7200 Cambridge St
Houston, TX 77030-4202

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 Sep 1, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2019 Accepting new patients
Baylor College of Medicine Diagnostic Radiology CurrentSince Sep 17, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Sep 17, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

104 7th St
Bay City, TX 77414
Phone (979) 241-5521

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

2457 S Braeswood Blvd
Houston, TX 77030
Phone (713) 520-8860

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

6620 Main St
Ste 1275
Houston, TX 77030
Phone (713) 798-2300

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

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

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

1504 Taub Loop
#621
Houston, TX 77030

1 Baylor Plz
Va Hospital, TX 77030
Phone (713) 798-5588

Organizations & group practices 7

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 1

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": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1467625285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11234 ANDERSON ST",
            "address_2": "HOUSE STAFF OFFICE CP 21005",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-798-4951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJTAHEDI",
        "first_name": "ALIREZA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-12",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.