Individual provider Active NPI

Girish Gidwani

  • Vascular & Interventional Radiology Physician
  • Houston, TX
National Provider Identifier
1710148622
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
P9575 Issued in TX
Practice address
8305 Knight Rd
Houston, TX 77054-3905
Phone
(713) 795-1106
Fax
(713) 383-4470
NPI assigned
Jun 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054679 IL
Vascular & Interventional Radiology Physician 2085R0204X P9575 TX Primary

Addresses

Primary practice location

8305 Knight Rd
Houston, TX 77054-3905

Mailing address

8305 Knight Rd
Houston, TX 77054-3905
Phone (713) 795-1106

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
I20150126000014 TX Practitioner - Diagnostic Radiology 3072837954 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Surgeons and Physicians Network IncGroup PAC ID 8426304221, 62 clinicians

Practice addresses (Care Compare)

12930 E Fwy
Spine Orthopedic and Pain Surgical PA
Houston, TX 77015-5710
Phone (281) 984-8799

1500 Grand Lake Dr
Conroe, TX 77304-2891
Phone (936) 523-1800

4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone (713) 795-4884

900 E 4TH St
Odessa, TX 79761-5255
Phone (432) 692-0707

Hospital & facility affiliations

  • Ad Hospital East, LLC Hospital, Houston, TX, CCN 670102
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054679ILMDInternal Medicine Physician
P9575TXMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Star MRI of Frisco LP CurrentSince Feb 2, 2019 Accepting new patients
North Star Diagnostic Imaging, LLC CurrentSince Feb 25, 2019 Accepting new patients
North Star MCD, LLC CurrentSince Feb 1, 2019 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. CurrentSince Oct 1, 2018 Accepting new patients
North Star CN, LP CurrentSince Feb 25, 2019 Accepting new patients
North Star MCD LLC CurrentSince Feb 1, 2019 Accepting new patients
North Star FM, LP CurrentSince Feb 25, 2019 Accepting new patients
North Star GV, LP CurrentSince Feb 1, 2019 Accepting new patients
North Star FP, LP CurrentSince Feb 1, 2019 Accepting new patients
North Star Plano Parkway, LP CurrentSince Feb 2, 2019 Accepting new patients
North Star MCD, LLC Current Accepting new patients
North Star MRI LP CurrentSince May 7, 2019 Accepting new patients
Community Mobile Ultrasound, LLC Past Accepting new patients
American Diagnostics Services LLC Past Accepting new patients

Locations

997 Raintree Cir
Ste 110
Allen, TX 75013

4780 N Josey Ln
Carrollton, TX 75010
Phone (972) 395-2293

12230 Coit Rd
Ste 100
Dallas, TX 75251
Phone (214) 252-7020

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

8501 Wade Blvd
#220N
Frisco, TX 75034

2535 Ira E Woods Ave
Ste 101
Grapevine, TX 76051

8305 Knight Rd
Houston, TX 77054
Phone (713) 790-1666

4200 Twelve Oaks Dr
Houston, TX 77027
Phone (713) 621-5010

4200 Twelve Oaks Dr
Fl 3
Houston, TX 77027

4200 Twelve Oaks Dr
Fl Third
Houston, TX 77027

12930 East Fwy
Houston, TX 77015
Phone (281) 704-3836

12950 East Fwy
Houston, TX 77015
Phone (281) 338-3209

1911 Bagby St
Houston, TX 77002
Phone (713) 790-1666

3700 W 15th St
Bldg D
Plano, TX 75075
Phone (972) 612-0523

4031 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (469) 326-8623

4140 E Renner Rd
Ste 100
Richardson, TX 75082
Phone (972) 920-0115

Interoperability endpoints

  • Direct secure messaging: girish.gidwani.4@13131.direct.athenahealth.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1710148622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-795-1106",
            "fax_number": "713-383-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 KNIGHT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543905",
            "telephone_number": "713-795-1106",
            "fax_number": "713-383-4470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIDWANI",
        "first_name": "GIRISH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054679",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P9575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.