Individual provider Active NPI

Ivey Royall, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1548640428
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T0331 Issued in TX
Practice address
1 Baylor PLZ Ste 405a
Houston, TX 77030-3411
Phone
(832) 822-5325
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X ML60561603 WA
Diagnostic Radiology Physician 2085R0202X T0331 TX Primary

Addresses

Primary practice location

1 Baylor PLZ Ste 405a
Houston, TX 77030-3411

Mailing address

1 Baylor PLZ Ste 405a
Houston, TX 77030-3411
Phone (832) 822-5325

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
I20210630001538 TX Practitioner - Diagnostic Radiology 4486967437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
83.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0331TXMDDiagnostic Radiology Physician
ML60561603WAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Aug 2, 2021 Accepting new patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Aug 2, 2021 Accepting new patients

Locations (25 of 46)

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

128 W Bandera Rd
Ste 5
Boerne, TX 78006
Phone (830) 816-9500

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

457 Laurence Dr
Ste 444
Heath, TX 75032

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

13857 US Highway 87 W
Lavernia, TX 78121
Phone (830) 253-2101

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

7930 Floyd Curl Dr
Fl 2
San Antonio, TX 78229
Phone (210) 617-9850

7950 Floyd Curl Dr
Ste 201
San Antonio, TX 78229
Phone (210) 617-9800

8038 Wurzbach Rd
Ste 150
San Antonio, TX 78229
Phone (210) 616-7760

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

4243 E Southcross Blvd
Ste 102
San Antonio, TX 78222
Phone (210) 617-9970

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

7910 Barlite Blvd
San Antonio, TX 78224
Phone (210) 617-9940

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

Organizations & group practices 2

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 3

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1548640428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ STE 405A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "832-822-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAYLOR PLZ STE 405A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770303411",
            "telephone_number": "832-822-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYALL",
        "first_name": "IVEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "ML60561603",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.