Creed W Abell IV, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H8559 Issued in TX

Practice address

110 Shult Dr
Columbus, TX 78934-3016

Phone

(281) 359-7788

Fax

(281) 359-7888

NPI assigned

Oct 10, 2005

Last updated

Jan 4, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bryan Radiology Associates

  • Diagnostic Radiology Physician
  • Bryan, TX
  • NPI 1992731178
  Medicare reassignment NPD
• Humble Radiology Associates PA

  dba Common Sense Imaging

  • Diagnostic Radiology Physician
  • Columbus, TX
  • NPI 1558350330
  Authorized official Same address or phone
• Bryan Radiology Associates

  • Diagnostic Radiology Physician
  • Bryan, TX
  • NPI 1457651341
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1619965100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR",
            "address_2": "STE 210",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHULT DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343016",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABELL",
        "first_name": "CREED",
        "middle_name": "W",
        "name_suffix": "IV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H8559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102390501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohsen Nasreldeen Abdalla Aboelella, MD
• Brooke Renee Adamek, DPT
• Rami Ali, MD
• Ashraf Ali Allahwala
• American Medical Supply Company

• Diagnostic Radiology Physician in Columbus, TX
• Providers in Columbus, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.