NPIMap

Individual provider Active NPI

David M. Olifant, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1619955093
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G2199 Issued in TX
Practice address
800 Peakwood Dr
Suite 5E
Houston, TX 77090-2900
Phone
(281) 440-5158
Fax
(281) 440-8549
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 G2199 TX Primary

Addresses

Primary practice location

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2900

Mailing address

800 Peakwood Dr
Ste 5E
Houston, TX 77090-2903
Phone (281) 440-5158

Other identifiers 1

IdentifierTypeStateIssuer
1253882-03MedicaidTX

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
I20070309000501 TX Practitioner - Diagnostic Radiology 3678676780 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Northwest Radiology AssnGroup PAC ID 5092799775, 31 clinicians

Practice addresses (Care Compare)

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2903
Phone (281) 440-5158

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • Bayside Community Hospital Hospital, Anahuac, TX, CCN 451320

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G2199TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Diagnostic Radiology CurrentSince Dec 1, 2019 Accepting new patients
Rose Imaging Specialists PA Diagnostic Radiology CurrentSince Sep 1, 2006 Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology CurrentSince Aug 29, 1982 Accepting new patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Dec 1, 2019 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

800 Peakwood Dr
Ste 5E
Houston, TX 77090
Phone (281) 440-5158

17030 Red Oak Dr
Houston, TX 77090
Phone (281) 580-6171

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

Organizations & group practices 6

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": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1619955093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "STE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "281-440-5158",
            "fax_number": "281-440-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR",
            "address_2": "SUITE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902900",
            "telephone_number": "281-440-5158",
            "fax_number": "281-440-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIFANT",
        "first_name": "DAVID",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1253882-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.