NPIMap

Individual provider Active NPI

Ainel Boonprakong Sewell, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1780851006
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2014-02400 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704-2702
Phone
(919) 834-2767
Fax
(919) 834-0234
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101253424 VA
Diagnostic Radiology Physician 2085R0202X ME105062 FL
Diagnostic Radiology Physician 2085R0202X 2014-02400 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704-2702

Mailing address

1121 Situs CT
Suite 200
Raleigh, NC 27606-4165
Phone (919) 834-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160429000382 TX Practitioner - Diagnostic Radiology 1951547801 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Radiology Associates, PLLCGroup PAC ID 3678652625, 15 clinicians

Practice addresses (Care Compare)

The Woodlands, TX 77385
Phone (936) 270-3631

16655 Southwest Fwy
Sugar Land, TX 77479-2329
Phone (713) 441-7465

18220 State Hwy 249
Suite 1280
Houston, TX 77070-4347
Phone (281) 737-1900

18220 Tomball Pkwy
Houston, TX 77070-4347
Phone (713) 441-7465

6550 Fannin St
Suite 749
Houston, TX 77030-2738
Phone (713) 441-7465

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-02400NCMDDiagnostic Radiology Physician
0101253424VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Feb 26, 2021 Accepting new patients
TMH Physician Associates PLLC CurrentSince Feb 26, 2021 Accepting new patients
Methodist Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
TMH Physician Associates PLLC Past Accepting new patients

Locations

18121 Tuckerton Rd
Ste 180
Cypress, TX 77433
Phone (281) 737-1000

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

6550 Fannin St
Ste 749
Houston, TX 77030
Phone (713) 441-5097

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

17201 Interstate 45 S
Ste 310
The Woodlands, TX 77385
Phone (936) 270-3631

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: asewell61008@directhoustonmethodist.org

Organizations & group practices 4

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 9

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1780851006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SITUS CT",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064165",
            "telephone_number": "919-834-2767",
            "fax_number": "919-834-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042702",
            "telephone_number": "919-834-2767",
            "fax_number": "919-834-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "AINEL",
        "middle_name": "BOONPRAKONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101253424",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME105062",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2014-02400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.