Jaa Imaging, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JAA IMAGING, LLC

Doing business as

Star Imaging

Practice address

1718 Fry Rd Ste 350
Houston, TX 77084-5850

Phone

(832) 391-6173

Fax

(832) 391-6178

NPI assigned

Apr 5, 2024

Last updated

Oct 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerin KalappurayilNPI 1508237090

Title

Manager

Phone

(832) 391-6173

Specialties & licenses 4

Addresses

Other names 1

• Star Imaging Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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.

• Jerin Kalappurayil

  • Radiologic Technologist
  • Houston, TX
  • NPI 1508237090
  NPD Authorized official
• Mohamed Samer Ghafir, MD

  • Diagnostic Radiology Physician
  • Sugar Land, TX
  • NPI 1821079534
  NPD

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1831941343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845850",
            "telephone_number": "832-391-6173",
            "fax_number": "832-391-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 FRY RD STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845850",
            "telephone_number": "832-391-6173",
            "fax_number": "832-391-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAA IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "KALAPPURAYIL",
        "authorized_official_first_name": "JERIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "832-391-6173"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.