NPIMap

Individual provider Active NPI

Michael Ray Mahlmann, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1558618215
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
BP20039270 Issued in TX
Practice address
6431 Fannin St
Suite 2.130B
Houston, TX 77030-1501
Phone
(713) 500-7583
NPI assigned
Aug 12, 2012
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X BP20039270 TX Primary
Diagnostic Radiology Physician 2085R0202X P5104 TX
General Practice Physician 208D00000X P5104 TX

Addresses

Primary practice location

6431 Fannin St
Suite 2.130B
Houston, TX 77030-1501

Mailing address

6431 Fannin St
Suite 2.130B
Houston, TX 77030-1501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000117 TX Practitioner - Diagnostic Radiology 9638480338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Radiology AssociatesGroup PAC ID 4880598143, 10 clinicians

Practice addresses (Care Compare)

2722 Osler Blvd
Bryan, TX 77802-2517
Phone (979) 776-8291

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20039270TXMDDiagnostic Radiology Physician
P5104TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2015 Accepting new patients
Bryan Radiology Associates Diagnostic Radiology CurrentSince Jul 5, 2016 Accepting new patients
Bryan Radiology Associates Diagnostic Radiology PastSince Jun 16, 2024 Accepting new patients

Locations

2700 Osler Blvd
Bryan, TX 77802

2722 Osler Blvd
Bryan, TX 77802
Phone (409) 776-8291

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

Interoperability endpoints

  • Direct secure messaging: hmhmmahlm@yourcarecommunity.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1344729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1558618215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE 2.130B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "SUITE 2.130B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-7583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLMANN",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-12",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP20039270",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P5104",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "P5104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.