Organization Active NPI

London Gohel Joint Venture

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1831179241
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
LONDON GOHEL JOINT VENTURE
Practice address
7401 Main St
Houston, TX 77030-4509
Phone
(281) 359-7788
Fax
(281) 359-7888
NPI assigned
Jan 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Jeffrey London, M.D.NPI 1104806629
Title
Joint Venturer
Phone
(713) 426-4010

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

7401 Main St
Houston, TX 77030-4509

Mailing address

1415 North Loop W Ste 240
Houston, TX 77008-1677
Phone (713) 426-4010

Other identifiers 1

IdentifierTypeStateIssuer
165655501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000644 TX Part B Supplier - Clinic/Group Practice 0547232027 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

1415 North Loop W
Ste 240
Houston, TX 77008
Phone (713) 426-9100

11617B Katy Fwy
Houston, TX 77079
Phone (281) 598-8383

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1831179241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081677",
            "telephone_number": "713-426-4010",
            "fax_number": "713-426-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304509",
            "telephone_number": "281-359-7788",
            "fax_number": "281-359-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONDON GOHEL JOINT VENTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-20",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "JOINT VENTURER",
        "authorized_official_telephone_number": "713-426-4010",
        "authorized_official_credential": "M.D."
    },
    "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": "165655501",
            "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 Mar 9, 2018; 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.