Active NPI
Baylor College of Medicine
- Diagnostic Radiology Physician
- Houston, TX
National Provider Identifier
1720182389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BAYLOR COLLEGE OF MEDICINE
- Practice address
- 1504 Taub Loop
Houston, TX 77030-1608 - Phone
- (713) 873-2000
- NPI assigned
- Sep 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Nickens
- Title
- Executive Director
- Phone
- (713) 798-1710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1504 Taub Loop
Houston, TX 77030-1608
Mailing address
2 E Greenway PLZ
Suite 900
Houston, TX 77046-0297
Phone (713) 798-1835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094866301 | Medicaid | TX |
Other names 1
- HCHD Radiology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031106000562 | TX | Part B Supplier - Clinic/Group Practice | 8224941265 |
Receives reassigned benefits from 2,374 practitioners 46 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX; Pasadena, TX; Baytown, TX; Bellaire, TX; Galena Park, TX |
Other NPIs on the same Medicare enrollment 46
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Molecular Genetics Physician
- Houston, TX
- NPI 1174697726
O20031106000562
-
- Neurological Surgery Physician
- Houston, TX
- NPI 1285644831
O20031106000562
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1720182389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 E GREENWAY PLZ",
"address_2": "SUITE 900",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460297",
"telephone_number": "713-798-1835",
"fax_number": "713-798-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 TAUB LOOP",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301608",
"telephone_number": "713-873-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYLOR COLLEGE OF MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-12",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "NICKENS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "713-798-1710"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094866301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HCHD Radiology",
"code": "3",
"type": "Doing Business As"
}
]
}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 10, 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.