Individual provider Active NPI

Isaac Raymond Kirk, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1629030143
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
H3260 Issued in TX
Practice address
1701 Sunset Blvd
Houston, TX 77005-1713
Phone
(713) 526-5511
Fax
(713) 520-4755
NPI assigned
Apr 3, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 H3260 TX Primary

Addresses

Primary practice location

1701 Sunset Blvd
Houston, TX 77005-1713

Mailing address

1701 Sunset Blvd Ste 276
Houston, TX 77005-1798
Phone (713) 526-5511

Other practice location 1

7026 Old Katy Rd
Suite 276
Houston, TX 77024-2133
Phone (713) 358-0562

Other identifiers 2

IdentifierTypeStateIssuer
300057452OtherTXRAILROAD MEDICARE
137883805MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050316000834 TX Practitioner - Diagnostic Radiology 1355396060 Reassigns benefits to 4 organizations
I20230420002250 MI Practitioner - Diagnostic Radiology 1355396060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H3260TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GMG Health Systems Associates PA Family Medicine CurrentSince Jun 19, 2023 Accepting new patients
Alliance MRI Clearlake CurrentSince Jan 1, 2023 Accepting new patients
Novello Imaging PLC CurrentSince Feb 1, 2023 Accepting new patients
Central Park Imaging Center, LTD. CurrentSince Feb 1, 2019 Accepting new patients
Dr Richard Burke Pain and Neuromodulation PLLC CurrentSince Aug 11, 2023 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Feb 4, 2019 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Diagnostic Radiology CurrentSince Feb 4, 2019 Accepting new patients
Amrad Evolution Imaging LLC Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Nuclear Imaging Associates Past Accepting new patients

Locations

4290 Copper Ridge Dr
Ste 100
Traverse City, MI 49684
Phone (231) 421-8505

900 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 372-9945

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

1701 Sunset Blvd
Ste 276
Houston, TX 77005

720 Pleasanton Rd
San Antonio, TX 78214

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1629030143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051798",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNSET BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770051713",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7026 Old Katy Rd",
            "address_2": "Suite 276",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770242133",
            "country_code": "US",
            "telephone_number": "713-358-0562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRK",
        "first_name": "ISAAC",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H3260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300057452",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137883805",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.