Individual provider Active NPI

Phan T. Huynh, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1700877826
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J8278 Issued in TX
Practice address
7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone
(713) 358-0562
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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 J8278 TX Primary

Addresses

Primary practice location

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187

Mailing address

7026 Old Katy Rd Ste 276
Houston, TX 77024-2187
Phone (713) 358-0562

Other practice location 1

12951 South Fwy
Houston, TX 77047-1923
Phone (713) 526-5771

Other identifiers 2

IdentifierTypeStateIssuer
136897905MedicaidTX
136897901MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140619000113 TX Practitioner - Diagnostic Radiology 8325262066 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

4522 Pin Oak LN
Bellaire, TX 77401-2612
Phone (832) 876-8616

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist Sugarland Hospital Hospital, Sugar Land, TX, CCN 450820
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Radiology Associates PLLC CurrentSince Aug 1, 2021 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Dec 11, 2013 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients

Locations

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866

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

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 3

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 10

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1700877826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7026 OLD KATY RD STE 276",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242187",
            "telephone_number": "713-358-0562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770471923",
            "country_code": "US",
            "telephone_number": "713-526-5771",
            "fax_number": "713-526-2036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "PHAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J8278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136897905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136897901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.