Organization Active NPI

Texas Imaging Partners, LLC

  • Radiology Clinic/Center
  • San Antonio, TX
National Provider Identifier
1548076052
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TEXAS IMAGING PARTNERS, LLC
Practice address
4903 Golden Quail Ste 110
San Antonio, TX 78240-1585
Phone
(210) 996-2996
Fax
(210) 688-8461
NPI assigned
Dec 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Mr. Kerry Michael O'Connell
Title
Ceo
Phone
(210) 842-1534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

4903 Golden Quail Ste 110
San Antonio, TX 78240-1585

Mailing address

3206 4TH St
Longview, TX 75605-5143
Phone (603) 663-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA, CO, GA, NC, MA, NH, SC, PR, PA, MD, DC, WI, KS, MO16 enrollments

Enrollment records 16

Enrollment IDStateProvider typePAC IDDetails
O20250520000132 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3971021353 Practice locations: San Antonio, TX
O20251014004681 FL Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 3 practitioners
Practice locations: Orlando, FL; Weston, FL; Port St Lucie, FL
O20251029002591 CA Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 5 practitioners
Practice locations: San Diego, CA; Moraga, CA; Glendale, CA; Fullerton, CA
O20251119002048 CO Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO
O20251119003892 GA Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA; Saint Simons Island, GA
O20260306000223 NC Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Holly Springs, NC
O20260310003144 MA Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Auburndale, MA
O20260318000251 NH Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Bow, NH
O20260409001246 SC Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 2 practitioners
Practice locations: Daniel Island, SC; Greer, SC
O20260410003535 PR Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 2 practitioners
Practice locations: Carolina, PR; San Juan, PR
O20260410003753 PA Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 2 practitioners
Practice locations: Bensalem, PA; Philadelphia, PA
O20260413001155 MD Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD; Owings Mills, MD
O20260413001235 DC Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA
O20260413002403 WI Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI
O20260417002108 KS Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 11 practitioners
Practice locations: Overland Park, KS; Prairie Village, KS; Mission Hills, KS; Lenexa, KS; Lake Quivira, KS; Fairway, KS
O20260528002837 MO Part B Supplier - Clinic/Group Practice 3971021353 Receives reassigned benefits from 2 practitioners
Practice locations: Lees Summit, MO; Parkville, MO

National Provider Directory

National Provider Directory

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1548076052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756055143",
            "telephone_number": "603-663-4800",
            "fax_number": "903-663-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 GOLDEN QUAIL STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401585",
            "telephone_number": "210-996-2996",
            "fax_number": "210-688-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS IMAGING PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-842-1534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.