Individual provider Active NPI

Paul Thottakara

  • Diagnostic Radiology Physician
  • Troy, MI
National Provider Identifier
1558591024
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
64457-20 Issued in MI
Practice address
3088 Glouchester Dr
Troy, MI 48084-2715
Phone
(284) 898-5000
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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 64457-20 MI Primary

Addresses

Primary practice location

3088 Glouchester Dr
Troy, MI 48084-2715

Mailing address

3088 Glouchester Dr
Troy, MI 48084-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150811003589 WI Practitioner - Diagnostic Radiology 1759512320 Reassigns benefits to 1 organization
I20180530000276 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1759512320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

1105 Central Expressway N
Allen, TX 75013-6103
Phone (972) 747-1000

12505 Lebanon Rd
Frisco, TX 75035-8298
Phone (972) 963-3333

1600 Hospital Pkwy
Bedford, TX 76022-6913
Phone (817) 848-4000

1820 Preston Park Blvd
Suite 2400
Plano, TX 75093-3716
Phone (972) 867-7862

3535 S I35 Frontage Rd
Denton Regional Medical Center
Denton, TX 76210-3535
Phone (940) 384-3535

401 W Campbell Rd
Richardson Regional Medical Center
Richardson, TX 75080-3416
Phone (972) 231-1441

4700 Alliance Blvd
Plano, TX 75093-5323
Phone (469) 814-2000

5252 W University Dr
Highway 380 at Lake Forest
McKinney, TX 75071-7822
Phone (972) 596-6800

Hospital & facility affiliations

  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64457-20MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince May 29, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Mar 10, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince May 29, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 23, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 4, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
University of Texas Medical Branch at Galveston Past Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

1241 Campbell Rd
Houston, TX 77055
Phone (713) 568-6095

1346 Campbell Rd
Houston, TX 77055

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

1820 Preston Park Blvd
Ste 2400
Plano, TX 75093

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

200 Blossom St
Webster, TX 77598
Phone (281) 252-7000

Interoperability endpoints

  • Direct secure messaging: pthottakara1307956@direct.texashealth.org

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 5

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": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1558591024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 GLOUCHESTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3088 GLOUCHESTER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842715",
            "telephone_number": "284-898-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOTTAKARA",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "64457-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.