Individual provider Active NPI

Ethan A. Colby, M.D.

  • Diagnostic Radiology Physician
  • Plano, TX
National Provider Identifier
1841450376
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101243349 Issued in VA
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 596-6800
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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 0101243349 VA Primary

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

1820 Preston Park Blvd
1200
Plano, TX 75093-3656
Phone (972) 867-7862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090805000577 TX Practitioner - Diagnostic Radiology 2860564531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Utmb Faculty Group PracticeGroup PAC ID 3375456734, 1,083 clinicians
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222

401 W Campbell Rd
Richardson Regional Medical Center
Richardson, TX 75080-3416
Phone (972) 231-1441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.88 of 100Reported as group
Quality
73.38
Improvement activities
40
Cost
78.42

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101243349VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 1, 2011 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Utmb Faculty Group Practice Diagnostic Radiology CurrentSince Sep 15, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 1, 2011 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 19, 2012 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 2, 2012 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2017 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jan 22, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Aug 10, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 17, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 16, 2022 Accepting new patients
Health Imaging Partners, LLC CurrentSince Apr 23, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Dec 9, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Oct 1, 2011 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Oct 1, 2018 Accepting new patients

Locations

2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 5

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378339200000",
    "number": "1841450376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862",
            "fax_number": "972-612-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "ETHAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2013-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101243349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.