NPIMap

Organization Active NPI

Interventional Cardiology Associates

  • Specialist
  • Houston, TX
National Provider Identifier
1710070875
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
INTERVENTIONAL CARDIOLOGY ASSOCIATES
Practice address
6550 Fannin St
Suite 2021
Houston, TX 77030-2717
Phone
(713) 790-9125
Fax
(713) 790-1802
NPI assigned
Oct 2, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Albert E. Raizner, M.D.NPI 1457342669
Title
Partner
Phone
(713) 790-9125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6550 Fannin St
Suite 2021
Houston, TX 77030-2717

Mailing address

6550 Fannin St
Suite 2021
Houston, TX 77030-2717
Phone (713) 790-9125

Other identifiers 3

IdentifierTypeStateIssuer
081554003MedicaidTX
081554001MedicaidTX
081554002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000743 TX Part B Supplier - Clinic/Group Practice 1456334861 Receives reassigned benefits from 5 practitioners
Practice locations: Houston, TX; Sugar Land, TX

National Provider Directory

National Provider Directory

Locations

6550 Fannin St
Ste 2021
Houston, TX 77030
Phone (713) 790-9125

1353 N Travis St
Ste 401
Liberty, TX 77575
Phone (713) 790-9125

16655 Southwest Fwy
Ste 215
Sugar Land, TX 77479

16659 Southwest Fwy
Ste 215
Sugar Land, TX 77479
Phone (713) 790-9125

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAICAA

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1710070875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2021",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-9125",
            "fax_number": "713-790-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST",
            "address_2": "SUITE 2021",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302717",
            "telephone_number": "713-790-9125",
            "fax_number": "713-790-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RAIZNER",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "713-790-9125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081554003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081554001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081554002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.