NPIMap

Organization Active NPI

Baylor College of Medicine Radiology Associates

  • Diagnostic Radiology Physician
  • Pasadena, TX
National Provider Identifier
1548453665
Registry record updated Apr 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BAYLOR COLLEGE OF MEDICINE RADIOLOGY ASSOCIATES
Practice address
4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948
Phone
(713) 481-3594
Fax
(713) 481-3513
NPI assigned
Aug 22, 2007
Last updated
Apr 26, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2017

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

Authorized official

Name
Mr. David Titus
Title
Authorized Official
Phone
(713) 481-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

4600 E Sam Houston Pkwy S
Pasadena, TX 77505-3948

Mailing address

PO Box 3119
Houston, TX 77253-3119
Phone (713) 481-3594

Other identifiers 3

IdentifierTypeStateIssuer
191613201MedicaidTX
212116201MedicaidTX
0088QCOtherTXBCBSTX

National Provider Directory

National Provider Directory

Locations

8633 Broadway St
Pearland, TX 77584

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1548453665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3119",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533119",
            "telephone_number": "713-481-3594",
            "fax_number": "713-481-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 E SAM HOUSTON PKWY S",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053948",
            "telephone_number": "713-481-3594",
            "fax_number": "713-481-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYLOR COLLEGE OF MEDICINE RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-481-3533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191613201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212116201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "0088QC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.