Active NPI
Kanchan Phalak, M.D.
- Diagnostic Radiology Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- BB20036710
- Practice address
- 1515 Holcombe Blvd
Houston, TX 77030-4000 - Phone
- (713) 792-6161
- NPI assigned
- Mar 1, 2011
- Last updated
- Apr 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | P5874 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | BB20036710 | TX | Primary |
Addresses
Primary practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
PO Box 4439
Houston, TX 77210-4439
Phone (713) 792-2991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 346759901 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Baylor College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Fellowship Dr
Conroe, TX 77384-4797
Phone (713) 563-0050
2130 W Holcombe Blvd
Univ of TX M D Ande Life Sciences Plaza
Houston, TX 77030-4009
Phone (713) 592-5433
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
9922 Louetta Rd
Houston, TX 77070-1468
Phone (713) 794-5500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 70.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BB20036710 | TX | MD | Diagnostic Radiology Physician |
| P5874 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Diagnostic Radiology | Current | Accepting new patients |
| Physicians Referral Service | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients | |
| Singleton Associates PA | Diagnostic Radiology | Current | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
5656 Kelley St
Houston, TX 77026
Phone (713) 566-5000
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092
Interoperability endpoints
- kphalak18093@utmdandersoncc.direct-ci.com
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harris Health
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- General Acute Care Hospital
- Houston, TX
- NPI 1174582050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1598063562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4439",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772104439",
"telephone_number": "713-792-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 HOLCOMBE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304000",
"telephone_number": "713-792-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHALAK",
"first_name": "KANCHAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-01",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "P5874",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "BB20036710",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "346759901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.