NPIMap

Organization Active NPI

Houston Radiology Associated

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1740228097
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HOUSTON RADIOLOGY ASSOCIATED
Practice address
6565 Fannin
Houston, TX 77030-2703
Phone
(713) 441-7558
Fax
(713) 793-1594
NPI assigned
Jun 2, 2006
Last updated
May 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Jett R Brady, M.D.NPI 1538159272
Title
President
Phone
(713) 441-7558

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
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

6565 Fannin
Houston, TX 77030-2703

Mailing address

2190 North Loop West
Suite 250
Houston, TX 77018-8016
Phone (281) 206-9020

Other identifiers 1

IdentifierTypeStateIssuer
112542901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, UT, TN, PA5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20040615000259 TX Part B Supplier - Clinic/Group Practice 8022092451 Receives reassigned benefits from 122 practitioners
Practice locations: Sugar Land, TX; Katy, TX; Houston, TX; Cypress, TX; Conroe, TX; Baytown, TX
O20240626000763 OK Part B Supplier - Clinic/Group Practice 8022092451 Receives reassigned benefits from 1 practitioner
Practice locations: Shawnee, OK
O20251114002225 UT Part B Supplier - Clinic/Group Practice 8022092451 Receives reassigned benefits from 1 practitioner
Practice locations: Kamas, UT
O20260112000035 TN Part B Supplier - Clinic/Group Practice 8022092451 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin, TN
O20260123003523 PA Part B Supplier - Clinic/Group Practice 8022092451 Receives reassigned benefits from 1 practitioner
Practice locations: Blue Bell, PA

National Provider Directory

National Provider Directory

Locations

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

2190 North Loop W
Ste 250
Houston, TX 77018
Phone (281) 455-7618

6565 Fannin St
#281
Houston, TX 77030

Practitioners & affiliated clinicians

Practitioners 147

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.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1740228097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 NORTH LOOP WEST",
            "address_2": "SUITE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770188016",
            "telephone_number": "281-206-9020",
            "fax_number": "281-206-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FANNIN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-441-7558",
            "fax_number": "713-793-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON RADIOLOGY ASSOCIATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JETT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-441-7558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112542901",
            "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 May 15, 2014; 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.