NPIMap

Individual provider Active NPI

Carolyn Ruth Herman, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1568755890
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q7704 Issued in TX
Practice address
6550 Fannin St Ste 737
Houston, TX 77030-2738
Phone
(713) 441-5097
NPI assigned
May 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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 Q7704 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 737
Houston, TX 77030-2738

Mailing address

6550 Fannin St Ste 737
Houston, TX 77030-2738
Phone (134) 441-5097

Other practice location 1

5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-3746

Other practice location 2

550 N University Blvd
University Hospital, Room 0279
Indianapolis, IN 46202
Phone (317) 948-2449

Other names 1

  • Carolyn Ruth Bainbridge Former name

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
I20211018001968 TX Practitioner - Diagnostic Radiology 6406093798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Radiology Associates, PLLCGroup PAC ID 3678652625, 15 clinicians

Practice addresses (Care Compare)

16655 Southwest Fwy
Sugar Land, TX 77479-2329
Phone (713) 441-7465

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Radiology Associates, PLLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
TMH Physician Associates PLLC PastSince Nov 1, 2021 Accepting new patients

Locations

6550 Fannin St
Ste 749
Houston, TX 77030
Phone (713) 441-5097

6565 Fannin St
#623
Houston, TX 77030
Phone (713) 363-8584

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Interoperability endpoints

  • Direct secure messaging: cherman67678@directhoustonmethodist.org

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 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": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1568755890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 737",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "134-441-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 737",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302738",
            "telephone_number": "713-441-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "address_purpose": "LOCATION",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "country_code": "US",
            "telephone_number": "317-328-3746",
            "fax_number": "317-570-6432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 N University Blvd",
            "address_2": "University Hospital, Room 0279",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46202",
            "country_code": "US",
            "telephone_number": "317-948-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "CAROLYN",
        "middle_name": "RUTH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q7704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BAINBRIDGE",
            "middle_name": "RUTH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.