Individual provider Active NPI

Anthony J Jennings, MD

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1831186907
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G8200 Issued in TX
Practice address
1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone
(713) 861-8200
Fax
(713) 861-8261
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G8200 TX Primary

Addresses

Primary practice location

1415 North Loop W
Suite 820
Houston, TX 77008-1664

Mailing address

1415 North Loop W
Suite 820
Houston, TX 77008-1664
Phone (713) 861-8200

Other identifiers 1

IdentifierTypeStateIssuer
124860102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G8200TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Radiology Assn Diagnostic Radiology Past Accepting new patients
Jack M Thomas MD PLLC Past Accepting new patients
Sabine County Hospital District Diagnostic Radiology Past Accepting new patients
Jack M Thomas MD PLLC Diagnostic Radiology Past Accepting new patients
Dee G. McCrary Jr. MD PA Past Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
HCC Region II LLC Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1831186907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NORTH LOOP W",
            "address_2": "SUITE 820",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081664",
            "telephone_number": "713-861-8200",
            "fax_number": "713-861-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G8200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124860102",
            "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 Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.